Organization Name: | REHABCLINICS SPT INC |
NPI Number: | 1396741856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT) |
Mailing Address: | 1103 White Horse Pike Haddon Township |
State: | NJ US |
Postal Code: | 081071036 |
Phone Number: | 8568589601 |
Fax Number: | 8568581363 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |