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1922572213
VIRTUS HEALTH - PERFORMANCE
HANAHAN, SC
NPI
1922572213
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Entity Type
Organization
Authorized Contact
JONATHAN VADEN
Owner
804-338-6754
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-01-19
Last Update Date
2019-01-19
Business Address
VIRTUS HEALTH - PERFORMANCE
1238 YEAMANS HALL RD STE 1
HANAHAN, SC 29410-2790
Phone number: 804-338-6754
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Mailing Address
VIRTUS HEALTH - PERFORMANCE
2244 ASHLEY CROSSING DR UNIT 333
CHARLESTON, SC 29414-6084
Phone number: 804-338-6754
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