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Organization

ELIZABETHTOWN PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
101 N EAGLE CREEK DR STE 110, LEXINGTON, KY 40509-1806
(859) 294-8320
(859) 299-3508
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251H1200X
Hand Physical Therapist
2251X0800X
Orthopedic Physical Therapist
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
10/31/2012
Last updated
03/12/2020
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