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Contract Details
Facility name
Total Rehab
Provider ID
P000000001
NPI
1952757650
Tax ID
812487501
Effective Date
9/7/2023
Last Updated
9/14/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1907 S College Street Suite 208
Auburn, AL 36832
United States
Phone
334-649-3399
(
Phone
)
Billing Details
Address
1907 S College Street
Suite 208
Auburn, AL 36832
Billing Phone
334-649-3399
Specialty Type
Physical Therapy
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