Organization Name: | SELECT PHYSICAL THERAPY HOLDINGS INC |
NPI Number: | 1003842352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT) |
Mailing Address: | 4735 Norrel Dr Ste 3 Trussville |
State: | AL US |
Postal Code: | 35173 |
Phone Number: | 2056551620 |
Fax Number: | 7056550574 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 10/29/2007 |
NPI Reactivation Date: | 12/13/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |