Contract Details
Industrial Wellness Rehab, Inc.
Facility name
IWR Therapy Systems
Provider ID
P000003378
NPI
1154450153
Tax ID
631019785
Effective Date
11/11/2014
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
6/30/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7965 Moffett Road Suite B
Semmes, AL 36575
United States
County
Mobile
Phone
2516453708 (Phone)
Billing Details
Address
2048-A South Broad Street
Mobile, AL 36615
Billing Phone
2516453708
Specialty Type
Physical Therapy
Map
Address