Contract Details
Drayer Physical Therapy Alabama, LLC
Facility name
Drayer Physical Therapy Institute
Provider ID
P000008221
NPI
1023440583
Tax ID
463273842
Effective Date
6/1/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2215 Decatur Highway Suite 125
Gardendale, AL 35071
United States
County
Jefferson
Phone
2052858790 (Phone)
Billing Details
Address
199 N. Brookmoore Drive
Columbus, MS 39705
Billing Phone
6623276705
Specialty Type
Physical Therapy
Map
Address