Elizabethtown Physical Therapy Psc
NPI #1457352007 in Brandenburg, Kentucky
Provider Information
- NPI Number
- 1457352007
- Entity Type
- Organization
- Organization Name
- Elizabethtown Physical Therapy Psc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 4, 2005
- Last Updated
- Mar 11, 2008
Practice Location
- Address
- 815 FAIRWAY DR
- Address 2
- SUITE C
- City
- Brandenburg
- State
- Kentucky
- ZIP Code
- 40108
- Phone
- (270) 422-3366
Authorized Official
- Name
- MR. MICHAEL E TARVIN
- Title
- VICE PRESIDENT
- Phone
- (717) 975-4503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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