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NPI Code Detail

MEDICARE: SELECT PHYSICAL THERAPY HOLDINGS INC

MEDICARE: SELECT PHYSICAL THERAPY HOLDINGS 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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1104894245
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT PHYSICAL THERAPY HOLDINGS INC
Provider Business Mailing Address
First Line : 1849 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3004
Country : US
Telephone Number : 717-975-4503
Fax Number :
Provider Business Practice Location Address
First Line : 1849 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3004
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 : 03/14/2006
Last Update Date : 03/21/2008

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Directions to “SELECT PHYSICAL THERAPY HOLDINGS INC ” Practice Location

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