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NPI Code Detail

MEDICARE: JOYNER SPORTS MEDICINE INSTITUTE INC

MEDICARE: JOYNER SPORTS MEDICINE INSTITUTE 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/CenterPA

General Provider Information

NPI Number : 1457350340
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOYNER SPORTS MEDICINE INSTITUTE 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 : 717-975-9981
Provider Business Practice Location Address
First Line : 5400 CHAMBERS HILL RD
Second Line : SUITE C
City : HARRISBURG
State : PA
Zip : 17111-2545
Country : US
Telephone Number : 717-558-4333
Fax Number : 717-558-4349
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. MICHAEL E. TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 07/21/2005
Last Update Date : 06/26/2012

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