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Organization
VISTA OUTPATIENT SERVICES
Active
Organization
VISTA OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BOUDER (CHIEF CLINICAL OFFICER)
(717) 583-5102
Entity
Organization
Contact information
Practice address
1021 SPRINGBOARD DR, HERSHEY, PA 17033-8820
(717) 583-5102
(717) 583-5127
Mailing address
1021 SPRINGBOARD DR, HERSHEY, PA 17033-8820
(717) 583-5102
(717) 583-5127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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