Organization
PROACTIVE THERAPY OF GREENVILLE INC
Active
Other names
NovaCare Outpatient Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
1689 NONCONNAH BLVD, SUITE 100, MEMPHIS, TN 38132-2102
(901) 396-1984
(901) 396-1984
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TN
Other
Enumeration date
07/29/2005
Last updated
03/12/2008
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