Organization
MATRIX REHABILITATION, INC.
Active
Other names
Sport and Spine Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1971 E 4TH ST, SUITE 210, SANTA ANA, CA 92705-3917
(714) 835-1672
(714) 835-0983
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
11/26/2018
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