Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1013093418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY) |
Mailing Address: | 9152 Highway 278 Ne Covington |
State: | GA US |
Postal Code: | 300147010 |
Phone Number: | 6783429339 |
Fax Number: | 6783429319 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 04/26/2016 |
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: |