Organization
PROACTIVE THERAPY OF VIRGINIA, INC.
Active
Other names
NovaCare Outpatient Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1139
Entity
Organization
Contact information
Practice address
2426 LEE HWY, SUITE 102, BRISTOL, VA 24202-5967
(276) 645-0311
(276) 645-0302
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMEN, MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
VA
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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