Organization
SELECT PHYSICAL THERAPY HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
401 E COLFAX AVE, COMMERCE CENTER - STE 102, SOUTH BEND, IN 46617-2737
(574) 234-1059
Mailing address
401 E COLFAX AVE, COMMERCE CENTER - STE 102, SOUTH BEND, IN 46617-2737
(574) 234-1059
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
09/01/2010
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