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NPI Code Detail

MEDICARE: PHYSIOTHERAPY ASSOCIATES, INC.

MEDICARE: PHYSIOTHERAPY ASSOCIATES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1952626954
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOTHERAPY ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-975-4510
Fax Number :
Provider Business Practice Location Address
First Line : 600 S TONOPAH DR
Second Line : SUITE 230
City : LAS VEGAS
State : NV
Zip : 89106-4025
Country : US
Telephone Number : 702-380-0671
Fax Number : 702-380-0674
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL E. TARVIN
Credential :
Telephone Number : 717-972-1132
Provider Enumeration Date : 04/01/2010
Last Update Date : 05/04/2016

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Directions to “PHYSIOTHERAPY ASSOCIATES, INC. ” Practice Location

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