Organization
PR ACQUISITION CORPORATION
Active
Parent organization
SELECT MEDICAL CORPORATION
Other names
Select Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL CORPORATION
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
2650 N TENAYA WAY STE 180, LAS VEGAS, NV 89128-1110
(702) 240-2952
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
12/14/2017
Last updated
12/14/2017
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