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Organization
PROACTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Active
Organization
PROACTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON ERIC SINGLETON DPT (OWNER, DOCTOR OF PHYSICAL THERAPY)
(660) 973-7364
Entity
Organization
Contact information
Practice address
623 S WASHINGTON STREET, CHILLICOTHE, MO 64601
(660) 973-7364
Mailing address
623 SOUTH WASHINGTON STREET, PO BOX 115, CHILLICOTHE, MO 64601
(660) 973-7364
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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