Contract Details
Facility name
Eastern Shore Physical Therapy
Provider ID
P000000001
NPI
1700831666
Tax ID
630997518
Effective Date
8/6/2020
Last Updated
8/13/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
94 Plantation Boulevard Suite B
Fairhope, AL 36532
United States
Phone
251-928-0600 (Phone)
Billing Details
Address
94 Plantation Boulevard
Suite B
Fairhope, AL 36532
Billing Phone
251-928-0600
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address