Contract Details
Align Networks, Inc.
Facility name
InnerFit Physical Therapy
Provider ID
P000003382
NPI
1790053114
Tax ID
043821114
Effective Date
2/2/2012
Last Updated
4/12/2018
Direct Contract
No
Term Date
2/18/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7088 University Court
Montgomery, AL 36117
United States
County
Montgomery
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address