Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
Select Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
750 CORONADO CENTER DR, SUITE 140, HENDERSON, NV 89052-5034
(702) 312-4878
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502938
—
NV
05
—
100503744
—
NV
05
—
100507555
—
NV
01
—
CK7516
MEDICARE RAILROAD
NV
Enumeration date
08/14/2006
Last updated
11/09/2018
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