| NPI | 1962903617 |
|---|---|
| Doing Business As | BANNER PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TARVIN Vice President 717-972-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |