MEDICARE: TMS PHYSICAL THERAPY PC

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
1	225100000X	Physical Therapist		PA

General Provider Information

NPI Number	:	1093836777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMS PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	201 ERIE ST STE B
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-1659
Country	:	US
Telephone Number	:	724-458-5850
Fax Number	:	724-458-4402

Provider Business Practice Location Address
First Line	:	201 ERIE ST STE B
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-1659
Country	:	US
Telephone Number	:	724-458-5850
Fax Number	:	724-458-5160

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JULIE M MAYBERRY
Credential	:
Telephone Number	:	724-458-5850

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	06/30/2008

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