| NPI | 1437915089 |
|---|---|
| Former Legal Business Name | OSTRANDER PERFORMANCE PROJECT |
| Entity Type | Organization |
| Authorized Contact | BRANDON DALE OSTRANDER CEO 910-515-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |