Organization
BHSM REHABILITATION, LLC
Active
Parent organization
SELECT MEDICAL
Other names
Banner Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
4344 W BELL RD STE 100, GLENDALE, AZ 85308-3589
(602) 548-9882
(602) 548-0228
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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