Organization
SELECT PHYSICAL THERAPY OF ALBUQUERQUE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
2113 GOLF COURSE RD SE, NUMBER 106, RIO RANCHO, NM 87124-1656
(505) 898-9700
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
05/14/2012
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