Contract Details
Ancillary Care Services
Facility name
Select Physical Therapy
Provider ID
P000009240
NPI
1962944199
Tax ID
650366467
Effective Date
6/11/2018
Last Updated
10/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
20241 SW 127th Avenue
Miami, FL 33177
United States
County
Miami-Dade
Phone
3052561617 (Phone)
Billing Details
Address
20241 SW 127th Avenue
Miami, FL 33177
Billing Phone
3052561617
Specialty Type
Physical Therapy
Map
Address