Organization
SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
Active
Parent organization
SELECT MEDICAL
Other names
Saco Bay Kids Pediatric Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
65 PORTLAND RD UNIT B, KENNEBUNK, ME 04043-6742
(717) 972-1100
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/16/2022
Last updated
08/15/2022
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