Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1073989448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY) |
Mailing Address: | 1551 S 108th St West Allis |
State: | WI US |
Postal Code: | 532144020 |
Phone Number: | 4144759999 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2015 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |