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
660 GOLDEN RIDGE RD, STE 130, GOLDEN, CO 80401-9541
(303) 275-2190
(303) 275-2191
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102255327
OWCP PROVIDER NUMBER
—
Enumeration date
05/24/2006
Last updated
11/12/2018
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