Contract Details
Eskridge & White Physiotherapy, LLC
Facility name
EW Motion Therapy Trussville
Provider ID
P000003370
NPI
1063735223
Tax ID
631239495
Effective Date
11/1/2006
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
183 Main Street Suite D
Trussville, AL 35173
United States
County
Jefferson
Phone
2056551009 (Phone)
Billing Details
Address
3125 Independence Drive
Suite 300-B
Birmingham, AL 35209
Billing Phone
2058797501
Specialty Type
Physical Therapy
Map
Address