Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
NovaCare Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
3815 E MAIN ST, STE B, ST CHARLES, IL 60174-2488
(630) 584-7530
(630) 584-7762
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IL
Other
Enumeration date
09/21/2006
Last updated
11/13/2019
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