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Organization
REHABCLINICS SPT INC
Active
Organization
REHABCLINICS SPT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, STE 650, WYNNEWOOD, PA 19096-3450
(610) 649-8056
Mailing address
100 E LANCASTER AVE, STE 650, WYNNEWOOD, PA 19096-3450
(610) 649-8056
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
10/22/2007
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