Organization
FINE, BRYANT & WAH, INC.
Active
Other names
NovaCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(410) 549-4960
Entity
Organization
Contact information
Practice address
19 WALKER AVE, SUITE 100, PIKESVILLE, MD 21208-4006
(410) 484-2855
(410) 484-5090
Mailing address
4714 GETTYSBURG RD, LEGAL, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
06/12/2014
Last updated
09/01/2015
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