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Organization
REHAB COLORADO LLC
Active
Organization
REHAB COLORADO LLC
Active
Other names
Avalanche Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1132
Entity
Organization
Contact information
Practice address
555 S PARK AVE PLAZA 2, BRECKENRIDGE, CO 80424
(970) 401-0175
(970) 453-7972
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 975-4510
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
CO
Other
Enumeration date
11/16/2012
Last updated
05/05/2016
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