# INDEPENDENCE REHABILITATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376738260
- **Authorized official:** MR. DEAN GODFREY MD (OWNER/PROVIDER)
- **Authorized official phone:** (717) 406-3013

## Contact information

- **Practice address:** 675 GOOD DR, LANCASTER, PA 17601-2426
- **Practice address phone:** (717) 406-3013
- **Practice address fax:** (717) 394-7501
- **Mailing address:** 100 AVERY OLIVIA WAY STE C, FAIRMONT, WV 26554-9375
- **Mailing address phone:** (304) 363-7000
- **Mailing address fax:** (304) 366-7413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS012799 | PA | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 07/21/2022