Organization
ACTRA REHABILITATION ASSOCIATES INC
Active
Other names
NovaCare Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VP & SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
6514 ODANA RD, MADISON, WI 53719-1124
(608) 833-9660
(608) 833-4733
Mailing address
6514 ODANA RD, MADISON, WI 53719-1124
(608) 833-9660
(608) 833-4733
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41790400
—
WI
Enumeration date
02/22/2006
Last updated
10/22/2018
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