Contract Details
Align Networks, Inc.
Facility name
OnMark Physical Therapy
Provider ID
P000007631
Tax ID
043821114
Effective Date
10/1/2013
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
936 Highway 72 East
Athens, AL 35611
United States
County
Limestone
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address