Organization
SELECT PHYSICAL THERAPY HOLDINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT & SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1623 S UTICA AVE, TULSA, OK 74104-4909
(918) 982-6800
(918) 743-6109
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
01/09/2017
Last updated
11/21/2018
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