Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000008635
NPI
1801972567
Tax ID
382617193
Effective Date
2/17/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4045 Johns Creek Parkway
Suwanee, GA 30024
United States
County
Gwinnett
Phone
6782066061 (Phone)
Billing Details
Address
P.O. Box 844208
Boston, MA 02284
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address