REVIVE NEURORECOVERY CENTER CLT LLC

FORT MILL, SC
NPI1679201123
Entity TypeOrganization
Authorized ContactASHLEY CLARK
Owner
704-900-3674
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-08-11
Last Update Date2024-02-25
Business Address
REVIVE NEURORECOVERY CENTER CLT LLC
3463 HIGHWAY 21 STE 112
FORT MILL, SC 29715-7210
Phone number: 704-900-3674
Mailing Address
REVIVE NEURORECOVERY CENTER CLT LLC
3463 HIGHWAY 21 STE 112
FORT MILL, SC 29715-7210
Phone number: