Contract Details
Facility name
Trinity Physical Therapy
Provider ID
P000003450
NPI
1417196221
Tax ID
383795853
Effective Date
8/15/2010
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7402 Highway 69 South Suite G
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2057585352 (Phone)
Billing Details
Address
7402 Highway 69 South
Suite G
Tuscaloosa, AL 35405
Billing Phone
2057585352
Specialty Type
Physical Therapy
Map
Address