| Organization Name: | TANNERSVILLE PHYSICAL THERAPY & WELLNESS, INC. |
| NPI Number: | 1902872773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGINE M. TODD (PRESIDENT) |
| Mailing Address: | 2313 Route 715 Stroudsburg |
| State: | PA US |
| Postal Code: | 18360 |
| Phone Number: | 5706294921 |
| Fax Number: | 5706299221 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT013394L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |