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Contract Details
Aldridge Physical Therapy, LLC
Facility name
Phoenix Physical Therapy
Provider ID
P000000001
Tax ID
260734207
Effective Date
12/15/2016
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
499 St. Lukes Drive
Montgomery, AL 36117
United States
Phone
334-244-5892
(
Phone
)
Fax
334-244-5890
Billing Details
Address
499 St. Lukes Drive
Montgomery, AL 36117
Billing Phone
334-244-5892
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Angie
Rush
334-546-4560
arush@phx-pt.com
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