Contract Details
Facility name
Industrial Rehab
Provider ID
P000007152
NPI
1548417165
Tax ID
200978395
Effective Date
10/30/1992
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
5320 Highway 90 Service Road
Mobile, AL 36619
United States
County
Mobile
Phone
2514457912 (Phone)
Billing Details
Address
5320 Highway 90 Service Road
Mobile, AL 36619
Billing Phone
2514457912
Specialty Type
Physical Therapy
Map
Address