Organization
SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
Active
Organization
SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
Active
Other names
SACO BAY ORTHOPAEDIC SPORTS & PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
105 TOPSHAM FAIR MALL RD, TOPSHAM, ME 04086-1773
(207) 295-8090
(207) 295-1050
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/16/2019
Last updated
09/22/2021
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