Organization Name: | SELECT PHYSICAL THERAPY HOLDINGS INC |
NPI Number: | 1033179825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT) |
Mailing Address: | 2132 Gause Blvd E Ste 6 Slidell |
State: | LA US |
Postal Code: | 704614243 |
Phone Number: | 9856462531 |
Fax Number: | 9856491391 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 12/03/2007 |
NPI Reactivation Date: | 01/07/2008 |
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: |