Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
Physio-Lake Hearn
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1100 LAKE HEARN DR NE, SUITE 130, ATLANTA, GA 30342-1571
(404) 303-0355
(404) 303-7757
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
11/12/2018
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