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Organization

SELECT CAL PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
200 N SAN PEDRO RD, SAN RAFAEL, CA 94903-4213
(415) 491-4751
(415) 491-4754
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
10/11/2021
Last updated
05/25/2023
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