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NPI Code Detail

MEDICARE: REHABCLINICS SPT INC

MEDICARE: REHABCLINICS SPT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1447421433
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABCLINICS SPT INC
Provider Business Mailing Address
First Line : 4716 OLD GETTYSBURG RD
Second Line : LEGAL DEPARTMENT
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-975-4503
Fax Number :
Provider Business Practice Location Address
First Line : 1800 VILLAGE CIR
Second Line :
City : LANCASTER
State : PA
Zip : 17603-2376
Country : US
Telephone Number : 717-975-4503
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL TARVIN
Credential :
Telephone Number : 717-975-4503
Provider Enumeration Date : 03/18/2008
Last Update Date : 03/18/2008

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