Organization
THERAWORKS 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
113 NE JOHNSON AVE, BURLESON, TX 76028-4138
(817) 447-2323
(817) 447-3311
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
651100001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550440001
STATE OT FACILITY NUMBER
TX
01
—
651100001
STATE PT FACILITY NUMBER
TX
Enumeration date
06/14/2006
Last updated
12/05/2012
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