Organization
CENTRAL IOWA PHYSIO LLC
Active
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
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253
(641) 484-5312
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IA
Other
Enumeration date
01/29/2015
Last updated
10/25/2018
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