Provider Demographics
NPI:1841637071
Name:NOVACARE REHABILITATION
Entity type:Organization
Organization Name:NOVACARE REHABILITATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ATHLETIC TRAINER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUSARCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:AT
Authorized Official - Phone:513-621-7777
Mailing Address - Street 1:222 PIEDMONT AVE STE 2200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-4238
Mailing Address - Country:US
Mailing Address - Phone:513-221-5761
Mailing Address - Fax:
Practice Address - Street 1:222 PIEDMONT AVE STE 2200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4238
Practice Address - Country:US
Practice Address - Phone:513-221-5761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0843261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy