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Contract Details
Therapy Direct, Inc.
Facility name
Therapy Direct Physical Therapy Network Clinic
Provider ID
P000008176
Tax ID
364737912
Effective Date
12/1/2014
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
431 Church Street
Selma, AL 36701
United States
County
Dallas
Phone
8889046776
(
Phone
)
Billing Details
Address
P.O. Box 915
Ooltewah, TN 37363
Billing Phone
8889046776
Specialty Type
Physical Therapy
Map
Address