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Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1538828991
Tax ID
873959343
Effective Date
5/18/2022
Last Updated
11/23/2022
Direct Contract
Yes
Term Date
10/31/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2122 Helton Drive
Florence, AL 35630
United States
Phone
256-980-1310
(
Phone
)
Billing Details
Address
2122 Helton Drive
Florence, AL 35630
Billing Phone
256-980-1310
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracy
Causey
256-980-1310
tracy.causey@p4physicaltherapy.com
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