Organization
ESOP REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1365C CLIFTON RD NE STE C1012, ATLANTA, GA 30322-1013
(717) 972-1100
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/29/2021
Last updated
08/03/2023
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