NPI 1881118727

Cpr Rehabilitation

Organisation Exclusive Provider Organization Philadelphia, PA

Practice location

Address: 10890 Bustleton Ave STE 103, Philadelphia, PA 19116-3365
Phone: (215) 464-6104

Authorised official

Name: Felix Shafarenko
Title: Owner
Phone: (215) 464-6104

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Pennsylvania →

Registry record

NPI: 1881118727
Entity type: Organization
NPI issued: 2 Aug 2017
Record last updated: 2 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.