Organization
NOVACARE OUTPATIENT REHABILITATION EAST INC
Active
Other names
NovaCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
1255 N OAKLAND BLVD, STE 145, WATERFORD, MI 48327-1578
(248) 666-3329
(248) 666-5372
Mailing address
4716 OLD GETTYSBURG RD., LEGAL DEAPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MI
Other
Enumeration date
06/22/2005
Last updated
03/12/2008
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