Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000008669
NPI
1992929566
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
400 Towne Park Boulevard Suite 100
Evans, GA 30809
United States
County
Columbia
Phone
7068549850 (Phone)
Billing Details
Address
P.O. Box 844208
Boston, MA 02284
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address