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1679201123
REVIVE NEURORECOVERY CENTER CLT LLC
FORT MILL, SC
NPI
1679201123
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Entity Type
Organization
Authorized Contact
ASHLEY CLARK
Owner
704-900-3674
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-08-11
Last Update Date
2024-02-25
Business Address
REVIVE NEURORECOVERY CENTER CLT LLC
3463 HIGHWAY 21 STE 112
FORT MILL, SC 29715-7210
Phone number: 704-900-3674
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Mailing Address
REVIVE NEURORECOVERY CENTER CLT LLC
3463 HIGHWAY 21 STE 112
FORT MILL, SC 29715-7210
Phone number:
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