Organization
FINE, BRYANT & WAH, INC.
Active
Other names
NovaCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
871 E FORT AVE, BALTIMORE, MD 21230-5117
(410) 685-1202
(410) 685-1247
Mailing address
4714 GETTYSBURG RD, LEGAL, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
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
06/12/2014
Last updated
06/16/2015
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