Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
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
750 CORONADO CENTER DR STE 120, HENDERSON, NV 89052
(702) 564-4116
(702) 932-2403
Mailing address
4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 635-3042
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/30/2007
Last updated
11/12/2018
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