Organization
BHSM REHABILITATION, LLC
Active
Other names
Banner Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
211 N ESTRELLA PKWY UNIT 103-104, GOODYEAR, AZ 85338-9339
(623) 323-1010
(623) 323-1011
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/19/2020
Last updated
05/02/2023
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