Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000008666
NPI
1386720415
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
4700 Nelson Brogdon Boulevard Suite 240
Sugar Hill, GA 30518
United States
County
Gwinnett
Phone
7702713188 (Phone)
Billing Details
Address
P.O. Box 844208
Boston, MA 02284
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address