Contract Details
Drayer Physical Therapy Institute of Alabama
Facility name
Drayer Physical Therapy
Provider ID
P000009363
NPI
1700442456
Tax ID
463273842
Effective Date
6/3/2019
Last Updated
7/5/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1000 RV Terrace
Hoover, AL 35244
United States
County
Jefferson
Phone
2057392069 (Phone)
Billing Details
Address
199 N. Brookmoore Drive
Columbus, MS 39705
Billing Phone
6623276705
Specialty Type
Physical Therapy
Map
Address