Organization · Type 2 NPI

Novacare Outpatient Rehabilitation East, Inc.

Rehabilitation Clinic/Center · Woodbury, MN

NPI number 1730720509 Active

Practice location

6025 Lake Rd Ste 200
Woodbury, MN 55125-1710

Call (612) 439-4222 Map

Fax (651) 730-1979

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center	261QP2000X	None listed
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

23 other providers at this address

Other rehabilitation clinic/center providers in Woodbury

Shriners Hospitals for ChildrenRehabilitation Clinic/Center Woodbury, MN NPI 1285250977
Optage IncRehabilitation Clinic/Center Woodbury, MN NPI 1831810985

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NPI record

NPI: 1730720509
Entity type: Organization (Type 2)
Issued: Oct 3, 2019
Last updated: Aug 20, 2020
Status: Active
Subpart: Yes of Select Medical

Other names

<unavail>
Novacare Rehabilitation · doing business as
Novacare Rehabilitation · doing business as

Authorized official

Michael Tarvin
Vice President
(717) 972-1100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730720509

Novacare Outpatient Rehabilitation East, Inc.'s National Provider Identifier is 1730720509, issued on Oct 3, 2019. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Woodbury, MN. The record was last updated on Aug 20, 2020.