# PROFESSIONAL SPORTS CARE MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthsouth Sports Medicine & Rehab Ctr
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659332773
- **Authorized official:** MICHAEL E TARVIN (VICE PRESIDENT)
- **Authorized official phone:** (717) 975-4503

## Contact information

- **Practice address:** 445 GODWIN AVE, MIDLAND PARK, NJ 07432
- **Practice address phone:** (201) 444-4991
- **Practice address fax:** (201) 444-2593
- **Mailing address:** 9716 OLD GETTYSBURG RD, MECHANICSBURG, PA 17055
- **Mailing address phone:** (717) 975-4503
- **Mailing address fax:** (717) 975-9981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 12/12/2007