| NPI | 1972688778 |
|---|---|
| Doing Business As | PHYSIO-LAWRENCEVILLE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E TARVIN Vice President And Secretary 717-972-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-11-12 |