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Contract Details
PT Solutions Management, LLC
Facility name
PT Solutions of Wetumpka
Provider ID
P000003399
NPI
1972834141
Tax ID
270202352
Effective Date
8/15/2010
Last Updated
7/3/2019
Direct Contract
Yes
Term Date
2/1/2019
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6249 Highway 231
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345140817
(
Phone
)
Billing Details
Address
P.O. Box 242757
Montgomery, AL 36124
Billing Phone
3345140817
Specialty Type
Occupational Therapy Facility
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