| NPI | 1760137723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TARVIN Vice President 717-975-4503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-05-19 |