| NPI | 1043719669 |
|---|---|
| Doing Business As | BANNER PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TARVIN Vice President 717-972-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-02-07 |