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Contract Details
Aldridge Physical Therapy, LLC
Facility name
Phoenix Physical Therapy
Provider ID
P000008533
NPI
1760673586
Tax ID
260734207
Effective Date
1/1/2017
Last Updated
8/18/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
323 Greenville Bypass Suite C
Greenville, AL 36037
United States
County
Butler
Phone
3346654368
(
Phone
)
Billing Details
Address
323 Greenville Bypass
Suite C
Blairsville, PA 36037
Billing Phone
7243434060
Specialty Type
Physical Therapy
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