# MATRIX REHABILITATION SOUTH CAROLINA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Select Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215956990
- **Authorized official:** MR. MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 3919 S HIGHWAY 14, GREENVILLE, SC 29615-6138
- **Practice address phone:** (864) 234-0491
- **Practice address fax:** (864) 234-0493
- **Mailing address:** 4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
- **Mailing address phone:** (717) 972-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 10/26/2018