Contract Details
Infirmary Occupational Health
Facility name
Industrial Wellness Rehab
Provider ID
P000000001
NPI
1437214574
Tax ID
631056697
Effective Date
4/6/2022
Last Updated
10/28/2022
Direct Contract
Yes
Term Date
10/6/2022
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2048 South Broad Street Brookley Complex, Suite A
Mobile, AL 36615
United States
Phone
251-433-1414 (Phone)
Billing Details
Address
2048 South Broad Street
Brookley Complex, Suite A
Mobile, AL 36615
Billing Phone
251-433-1414
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address