Smr Banyan Tree, Inc.

NPI #1750327193 in Grove City, Ohio

Provider Information

NPI Number: 1750327193
Entity Type: Organization
Organization Name: Smr Banyan Tree, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jun 22, 2006
Last Updated: Nov 21, 2018

Practice Location

Address: 3148 BROADWAY
Address 2: SUITE 302
City: Grove City
State: Ohio
ZIP Code: 43123-1781
Phone: (614) 539-4646

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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