Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000008656
NPI
1093890907
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
3200 Shakerag Hill Suite C
Peachtree City, GA 30269
United States
County
Fayette
Phone
7704870760 (Phone)
Billing Details
Address
P.O. Box 844208
Boston, MA 02284
Billing Phone
Specialty Type
Physical Therapy
Map
Address