Organization
CPR REHABILITATION
Active
Organization
CPR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX SHAFARENKO (OWNER)
(215) 464-6104
Entity
Organization
Contact information
Practice address
10890 BUSTLETON AVE STE 103, PHILADELPHIA, PA 19116-3365
(215) 464-6104
Mailing address
10890 BUSTLETON AVE STE 103, PHILADELPHIA, PA 19116-3365
(215) 464-6104
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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