NPI | 1972004687 |
---|---|
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 |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |