Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000008668
NPI
1467538983
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
723 Baxter Street Suite B
Athens, GA 30605
United States
County
Clarke
Phone
7063553035 (Phone)
Billing Details
Address
P.O. Box 844208
Boston, MA 02284
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address