Contract Details
Hall & Oates PT West Mobile, LLC
Facility name
Hall & Oates Physical Therapy
Provider ID
P000009300
NPI
1023592527
Tax ID
831227459
Effective Date
1/18/2019
Last Updated
1/23/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2351 Dawes Road
Mobile, AL 36693
United States
County
Mobile
Phone
2513006666 (Phone)
Billing Details
Address
2351 Dawes Road
Mobile, AL 36693
Billing Phone
2513006666
Specialty Type
Physical Therapy
Map
Address