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Contract Details
Drayer Physical Therapy Alabama, LLC
Facility name
Drayer Physical Therapy Institute
Provider ID
P000002090
NPI
1851605836
Tax ID
463273842
Effective Date
6/1/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2910 Morgan Road Suite 100
Bessemer, AL 35022
United States
County
Jefferson
Phone
2052300400
(
Phone
)
Billing Details
Address
199 N. Brookmoore Drive
Columbus, MS 39705
Billing Phone
6623276705
Specialty Type
Physical Therapy
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