Organization Name: | REHABCLINICS SPT, INC. |
NPI Number: | 1215998356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT) |
Mailing Address: | 220 Sunset Rd Ste 5a & 5b Willingboro |
State: | NJ US |
Postal Code: | 08046 |
Phone Number: | 6098354801 |
Fax Number: | 6098354950 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 10/29/2007 |
NPI Reactivation Date: | 12/13/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |