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Contract Details
Agilitas USA, Inc.
Facility name
Results Physiotherapy
Provider ID
P000008425
NPI
1538558804
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
3654 Airport Boulevard Suite H
Mobile, AL 36608
United States
County
Mobile
Phone
2515441050
(
Phone
)
Billing Details
Address
2001 Mallory Lane
Suite 201
Franklin, TN 37067
Billing Phone
6153731350
Specialty Type
Physical Therapy
Map
Address