Organization
REHAB COLORADO, LLC
Active
Other names
Avalanche Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1132
Entity
Organization
Contact information
Practice address
0189 TEN MILE CIRCLE, UNIT 102 A, COPPER MOUNTAIN, CO 80443
(970) 968-2544
(970) 968-2456
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 975-4510
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
05/05/2016
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