Organization
SELECT PHYSICAL THERAPY BAPTIST REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
635 MCQUEEN SMITH RD N, STE D, PRATTVILLE, AL 36066
(334) 365-8063
(334) 365-7905
Mailing address
4716 OLD GETTYSBURG RD, MECHANICSBURG, PA 17055
(717) 975-9503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/14/2006
Last updated
07/22/2009
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