Organization
NOVACARE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BILLHEIMER (CONTRACT COORDINATOR)
(610) 992-7224
Entity
Organization
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-8269
Mailing address
4812 N 5TH ST, PHILADELPHIA, PA 19120-4125
(215) 324-6082
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT009919E
PA
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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