Organization
SPORTS AND ORTHOPEDIC REHABILITATION 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
19 NORTH 6TH STREET, SUITE A, HAINES CITY, FL 33844
(717) 975-4503
Mailing address
4716 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/08/2017
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