Organization
DOUGLAS AVERY & ASSOCIATES, LTD
Active
Parent organization
SELECT MEDICAL CORPORATIN
Other names
NovaCare Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL CORPORATIN
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
8926 CHESAPEAKE AVE STE A, NORTH BEACH, MD 20714-4050
(410) 289-3341
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
08/07/2015
Last updated
08/21/2024
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