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Contract Details
Facility name
Drayer Physical Therapy Institute
Provider ID
P000000001
NPI
1023440583
Tax ID
463273842
Effective Date
6/6/2022
Last Updated
5/11/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
742 Main Street
Montevallo, AL 35115
United States
Phone
205-664-5863
(
Phone
)
Fax
205-918-8437
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Lauren
Larkey
800-578-1104
workcomp@urpt.com
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