Contract Details
Facility name
Physiotherapy Associates
Provider ID
P000002341
Tax ID
721379381
Effective Date
3/1/1999
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
8/14/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1705 Highway 78 East Suite 500
Jasper, AL 35501
United States
County
Walker
Phone
2053020140 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address