Smr Banyan Tree, Inc.

NPI #1093744658 in Columbus, Ohio

Provider Information

NPI Number: 1093744658
Entity Type: Organization
Organization Name: Smr Banyan Tree, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jul 3, 2006
Last Updated: Nov 21, 2018

Practice Location

Address: 4930 W BROAD ST
Address 2: SUITE 2
City: Columbus
State: Ohio
ZIP Code: 43228-1696
Phone: (614) 878-1634

Authorized Official

Name: MR. MICHAEL E TARVIN
Title: VICE PRESIDENT & SECRETARY
Phone: (717) 972-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Physical Therapist	225100000X	Primary

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