Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1497836654 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
Mailing Address: | 3119 Cranberry Hwy Ste 4 East Wareham |
State: | MA US |
Postal Code: | 025384840 |
Phone Number: | 5087595411 |
Fax Number: | 5087596194 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 04/27/2016 |
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: |