Contract Details
Ancillary Care Services
Facility name
Onsite Rehab
Provider ID
P000005951
Tax ID
582273537
Effective Date
4/1/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
1715 Howell Mill Road Northwest Suite B-2
Atlanta, GA 30318
United States
County
Fulton
Phone
4043515432 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Physical Therapy
Map
Address