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Organization
THRIVE NOW THERAPY
Active
Organization
THRIVE NOW THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT WILLIAM PORTER OTR/L (OCCUPATIONAL THERAPIST)
(704) 980-0680
Entity
Organization
Contact information
Practice address
9624 BAILEY RD STE 273, CORNELIUS, NC 28031-6120
(704) 980-0680
Mailing address
9624 BAILEY RD STE 273, CORNELIUS, NC 28031-6120
(704) 980-0680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/30/2020
Last updated
02/07/2025
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