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Organization
SMR BANYAN TREE, INC.
Active
Organization
SMR BANYAN TREE, INC.
Active
Other names
NovaCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
140 HIGHLAND TERRACE BLVD, SUITE B, WARREN, OH 44484-3074
(330) 652-8733
(330) 652-0030
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/03/2006
Last updated
10/21/2025
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