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NOVACARE OUTPATIENT REHABILITATION EAST INC. NPI 1730720509


NPI Information

NPI: 1730720509
Provider Name: NOVACARE OUTPATIENT REHABILITATION EAST, INC.

Doing Business As: NOVACARE REHABILITATION

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
6025 LAKE RD STE 200
WOODBURY, MN
ZIP 55125
Phone: (612) 439-4222
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NOVACARE OUTPATIENT REHABILITATION EAST, INC. is a rehabilitation clinic center in Woodbury, MN. NOVACARE OUTPATIENT REHABILITATION EAST, INC. NPI is 1730720509. The provider is registered as an organization entity type.
The provider Is Doing Business As Novacare Rehabilitation.

The provider's business location address is:

6025 LAKE RD STE 200
WOODBURY, MN
ZIP 55125-710
Phone: (612) 439-4222
Fax: (651) 730-1979

The provider's authorized official is Michael Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 8/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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