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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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1255724613
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOTHERAPY ASSOCIATES INC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line : LEGAL DEPARTMENT
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-972-1100
Fax Number :
Provider Business Practice Location Address
First Line : 6945 CARLISLE CT
Second Line :
City : NAPLES
State : FL
Zip : 34109-6883
Country : US
Telephone Number : 239-254-0946
Fax Number : 239-254-0957
Authorized Official
Title or Position : VICE PRESIDENT AND SECRETARY
Name : MR. MICHAEL E TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 03/10/2015
Last Update Date : 11/09/2018

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