| Organization Name: | PHYSIOTHERAPY ASSOCIATES, INC |
| NPI Number: | 1114344819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY) |
| Mailing Address: | 695 Henderson Dr Cartersville |
| State: | GA US |
| Postal Code: | 301203738 |
| Phone Number: | 7703866300 |
| Fax Number: | 7703820791 |
| NPI Enumeration Date: | 03/20/2014 |
| 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: | |