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General NPI Number Information
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NPI Number | 1811062078
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Entity Type | Organization
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Legal Business Name | REHABCLINICS SPT INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 570 EGG HARBOR RD SUITE 6B
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City | SEWELL
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State | NJ
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Zip | 08080-2359
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Country | US
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Telephone | 856-218-8050
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Fax | 856-218-8173
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Provider Business Mailing Address
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Address Line | 4716 GETTYSBURG RD LEGAL DEPARTMENT
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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Country | US
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Telephone | 717-975-4503
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Fax | 717-975-9981
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL E. TARVIN
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Credential |
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Telephone | 717-975-4503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | NJ
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