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Contract Details
Joseph B. Pierce Jr., PT, LLC
Facility name
The Physical Therapy Center
Provider ID
P000006678
Tax ID
460910493
Effective Date
10/15/2012
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1811 Old Shell Road
Mobile, AL 36607
United States
County
Mobile
Phone
2514791149
(
Phone
)
Billing Details
Address
1811 Old Shell Road
Mobile, AL 366073416
Billing Phone
2514791149
Specialty Type
Physical Therapy
Map
Address