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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 : 1912044280
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 : 3919 CARTER RD
Second Line : STE A
City : BUFORD
State : GA
Zip : 30518-1628
Country : US
Telephone Number : 770-614-5772
Fax Number : 770-614-5991
Authorized Official
Title or Position : VICE PRESIDENT AND SECRETARY
Name : MR. MICHAEL E TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 01/30/2007
Last Update Date : 11/12/2018

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Directions to “PHYSIOTHERAPY ASSOCIATES INC ” Practice Location

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