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Contract Details
Total Rehab, Inc.
Facility name
Total Rehab, Inc.
Provider ID
P000008682
NPI
1952757650
Tax ID
812487501
Effective Date
4/12/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2515 E. Glenn Ave. #104
Auburn, AL 36830
United States
County
Lee
Phone
3348212256
(
Phone
)
Billing Details
Address
2515 E. Glenn Ave.
#104
Auburn, AL 36830
Billing Phone
3348212256
Specialty Type
Physical Therapy
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Address