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Contract Details
BenchMark Physical Therapy
Facility name
Independent Physical Therapy
Provider ID
P000000001
NPI
1104878354
Tax ID
621754125
Effective Date
11/1/2021
Last Updated
11/9/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
8530 Hixson Pike Suite 102
Chattanooga, TN 37343
United States
Phone
423-821-5882
(
Phone
)
Fax
423-933-2297
Billing Details
Address
8530 Hixson Pike
Suite 102
Chattanooga, TN 37343
Billing Phone
423-821-5882
Specialty Type
Physical Therapy
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