Contract Details
Ancillary Care Services
Facility name
Select Physical Therapy
Provider ID
P000004753
NPI
1538164611
Tax ID
650366467
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
2501 Burns Road Suite B
Palm Beach Gardens, FL 33410
United States
County
Palm Beach
Phone
5616274427 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address