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Organization
KINETIC PERFORMANCE AND REHAB LLC
Active
Organization
KINETIC PERFORMANCE AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI KERBY PT, DPT, OCS (PHYSICAL THERAPIST)
(304) 785-2296
Entity
Organization
Contact information
Practice address
104 PROGRESS CT STE 60, WINSTON SALEM, NC 27106-3298
(336) 252-8282
Mailing address
4119 LAKEWOOD GLEN DR, WINSTON SALEM, NC 27107-6877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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