Organization
ACTRA REHABILITATION ASSOCIATES INC
Active
Parent organization
SELECT MEDICAL CORPORATION
Other names
NovaCare Prosthetics & Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL CORPORATION
Authorized official
MICHAEL E TARVIN (VP & SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
10700 W BURLEIGH ST, MILWAUKEE, WI 53222-3310
(414) 778-4500
(414) 259-9465
Mailing address
4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41790500
—
WI
Enumeration date
12/13/2005
Last updated
10/22/2018
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