Contract Details
Ancillary Care Services
Facility name
Select Physical Therapy
Provider ID
P000005257
NPI
1750381422
Tax ID
541323120
Effective Date
4/1/2012
Last Updated
10/11/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
4601 Fairfax Drive Suite 100
Arlington, VA 22203
United States
County
Arlington
Phone
7038410395 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address