Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
Novacare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT & SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
7814 W NORTH AVE, ELMWOOD PARK, IL 60707-3536
(708) 456-2322
(708) 456-2395
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
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636250
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/06/2007
Last updated
07/21/2022
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