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Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000007938
NPI
1083652184
Tax ID
382617193
Effective Date
11/2/2011
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
118 Brown Avenue Suite 104
Crossville, TN 38555
United States
County
Cumberland
Phone
9314566608
(
Phone
)
Billing Details
Address
P.O. Box 636002
Littleton, CO 80163
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address