Organization
NOVACARE OUTPATIENT REHABILITATION EAST, INC.
Active
Parent organization
SELECT MEDICAL
Other names
NovaCare Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(612) 439-4222
(651) 730-1979
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
08/20/2020
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