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Contract Details
Jones Physical Therapy, LLC
Facility name
Jones Physical Therapy, LLC
Provider ID
P000008706
NPI
1134163108
Tax ID
474640392
Effective Date
5/16/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
3054 Morgan Road
Bessemer, AL 35022
United States
County
Jefferson
Phone
2055107477
(
Phone
)
Billing Details
Address
3054 Morgan Road
Bessemer, AL 35022
Billing Phone
2055107477
Specialty Type
Physical Therapy
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Address