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Organization
GRACEFUL PHYSICAL THERAPY AND PERFORMANCE LLC
Active
Organization
GRACEFUL PHYSICAL THERAPY AND PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN GOLDSTEIN PT, DPT (OWNER)
(704) 426-3454
Entity
Organization
Contact information
Practice address
1232 ANSLEY PARK DR, INDIAN LAND, SC 29707-7887
(704) 426-3454
Mailing address
1232 ANSLEY PARK DR, INDIAN LAND, SC 29707-7887
(704) 426-3454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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