Providence Physical Therapy & Performance, LLC
Providence Physical Therapy & Performance, LLC is a Physical Therapy Clinic/Center in Tabor City, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.
- Licensed in
- NC
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
107 Live Oak StTabor City, NC 28463-2042
Phone: (252) 916-9949
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 10244 (NC) |
|---|
Record details
| NPI number | 1104279520 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Bullard — Physical Therapist/Owner/Manager · (252) 916-9949 |
| NPI enumerated | July 20, 2016 |
| Last updated in NPPES | February 6, 2017 |
| Mailing address | Po Box 219, Tabor City, NC 28463-0219 |