Contract Details
Facility name
Saraland Physical Therapy Services
Provider ID
P000008268
NPI
1851301410
Tax ID
631228876
Effective Date
4/1/2015
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
205 Highway 43 North
Saraland, AL 36571
United States
County
Mobile
Phone
2516790015 (Phone)
Billing Details
Address
205 Highway 43 North
Saraland, AL 36571
Billing Phone
2516790015
Specialty Type
Physical Therapy
Map
Address