Vista Outpatient Services
NPI #1356611560 in Hershey, Pennsylvania
Provider Information
- NPI Number
- 1356611560
- Entity Type
- Organization
- Organization Name
- Vista Outpatient Services
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 4, 2012
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 1021 SPRINGBOARD DR
- City
- Hershey
- State
- Pennsylvania
- ZIP Code
- 17033-8820
- Phone
- (717) 583-5102
Authorized Official
- Name
- JAMES BOUDER
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (717) 583-5102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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