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Contract Details
Agilitas USA, Inc.
Facility name
Results Physiotherapy
Provider ID
P000008480
NPI
1740735141
Tax ID
371349655
Effective Date
9/26/2016
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
790 Montgomery Highway Suite 116
Vestavia, AL 35216
United States
County
Jefferson
Phone
2055455910
(
Phone
)
Billing Details
Address
P.O. Box 306123
Nashville, TN 37230
Billing Phone
6153731350
Specialty Type
Physical Therapy
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Address