NPI | 1750902532 |
---|---|
Doing Business As | PREVITE PERFORMANCE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ERIC PREVITE Owner 848-209-1053 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2020-05-02 |
Last Update Date | 2020-12-22 |