Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
KORT Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1730 WILLIAMSBURG DR, SUITE 3, JEFFERSONVILLE, IN 47130-8065
(812) 284-0852
(812) 284-3727
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369870
BCBS
IN
05
—
200479450
—
IN
Enumeration date
06/28/2006
Last updated
11/12/2018
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