Organization
SELECT PHYSICAL THERAPY ORTHOPEDIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
23909 WEST RENWICK ROAD, UNIT G, PLAINFIELD, IL 60544
(815) 741-2194
Mailing address
23909 WEST RENWICK ROAD, UNIT G, PLAINFIELD, IL 60544
(815) 741-2194
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2006
Last updated
02/05/2008
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