Contract Details
Accelerated Rehabilitation Centers
Facility name
Occusport Physical Therapy
Provider ID
P000006052
Tax ID
363819982
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
3865 East Main St
Saint Charles, IL 60174
United States
County
Kane
Phone
6305875788 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address