Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN JR. (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE STE 5900, OAK PARK, IL 60304-2814
(708) 358-1612
(708) 358-1712
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636250
BCBS
IL
Enumeration date
11/10/2006
Last updated
11/12/2018
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