Organization
MATRIX REHABILITATION, INC.
Active
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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