Contract Details
Facility name
Renew Physiotherapy
Provider ID
P000009194
NPI
1558857490
Tax ID
830643688
Effective Date
7/13/2018
Last Updated
7/31/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
3480 Spring Hill Avenue
Mobile, AL 36608
United States
County
Mobile
Phone
2515896642 (Phone)
Billing Details
Address
3480 Spring Hill Avenue
Mobile, AL 36608
Billing Phone
2515896642
Specialty Type
Physical Therapy
Map
Address