Organization
FINE, BRYANT & WAH, INC.
Active
Parent organization
SELECT MEDICAL CORPORATION
Other names
NovaCare Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL CORPORATION
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
910 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3718
(410) 939-4334
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
08/07/2015
Last updated
10/12/2015
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