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Contract Details
Agilitas USA, Inc.
Facility name
Results Physiotherapy
Provider ID
P000008420
NPI
1316303043
Tax ID
371349655
Effective Date
8/18/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6971 Eastchase Loop
Montgomery, AL 36117
United States
County
Montgomery
Phone
3347216500
(
Phone
)
Billing Details
Address
2001 Mallory Lane
Suite 201
Franklin, TN 37067
Billing Phone
6153731350
Specialty Type
Physical Therapy
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Address