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Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1568195386
Tax ID
883148972
Effective Date
11/1/2022
Last Updated
11/30/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1860 US Highway 43
Winfield, AL 35594
United States
Phone
205-651-7171
(
Phone
)
Fax
205-651-7173
Billing Details
Address
8059 Mitchell Lane
Birmingham, AL 35216
Billing Phone
205-607-0632
Specialty Type
Physical Therapy
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