Basic Information
| Provider Information | |||||||||
| NPI: | 1619054343 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSIOTHERAPY ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 211 NORTH ST | ||||||||
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| City: | ELKTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 219215512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106204795 | ||||||||
| FaxNumber: | 4106204869 | ||||||||
| Practice Location | |||||||||
| Address1: | 5775 ALLENTOWN BLVD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171124049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176571629 | ||||||||
| FaxNumber: | 7176573241 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 08/15/2007 | ||||||||
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| AuthorizedOfficialLastName: | ZIGENFUS | ||||||||
| AuthorizedOfficialFirstName: | ROB | ||||||||
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| AuthorizedOfficialTitleorPosition: | CONTRACTING | ||||||||
| AuthorizedOfficialTelephone: | 9016857227 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.