| Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
| NPI Number: | 1003911769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| Mailing Address: | 322 E Antietam St Suite 104 Hagerstown |
| State: | MD US |
| Postal Code: | 217405736 |
| Phone Number: | 3017660836 |
| Fax Number: | 3017660987 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |