Organization
NORTH ANDOVER PHYSICL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
575 TURNPIKE ST, NORTH ANDOVER, MA 01845-5924
(978) 686-9688
(978) 688-2163
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 0016
PART B
MA
Enumeration date
08/31/2005
Last updated
09/18/2008
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