Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
7361 PRAIRIE FALCON ROAD, 130, LAS VEGAS, NV 89128
(702) 804-1511
(702) 804-2551
Mailing address
4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 635-3042
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500916
—
NV
Enumeration date
11/01/2006
Last updated
11/12/2018
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