Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
7361 PRAIRIE FALCON RD STE 130, LAS VEGAS, NV 89128
(702) 804-1511
(702) 804-2551
Mailing address
6263 POPLAR AVE, STE 801, MEMHIS, TN 38119-4701
(901) 685-7227
(267) 321-2079
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/30/2007
Last updated
06/20/2018
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