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Contract Details
BenchMark Physical Therapy
Facility name
Independent Physical Therapy
Provider ID
P000000001
NPI
1780636068
Tax ID
270039366
Effective Date
3/15/2021
Last Updated
8/12/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
718 Cherokee Street NE Suite 10
Marietta, GA 37421
United States
Phone
4232387217
(
Phone
)
Billing Details
Address
718 Cherokee Street NE
Suite B
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Lauren
Larkey
800-578-1104
workcomp@urpt.com
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