Contract Details
Refine PT and Performance
Facility name
Renew PT and Performance
Provider ID
P000009304
NPI
1568930907
Tax ID
831599016
Effective Date
1/29/2019
Last Updated
2/8/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
27468 World Court
Daphne, AL 36526
United States
County
Baldwin
Phone
2512701551 (Phone)
Billing Details
Address
27468 World Court
Daphne, AL 36526
Billing Phone
2512701551
Specialty Type
Physical Therapy
Map
Address