Organization
PROACTIVE THERAPY OF VIRGINIA, INC.
Active
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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