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Organization
YOGA THERAPY BAR LLC
Active
Organization
YOGA THERAPY BAR LLC
Active
Other names
Yoga Therapy Bar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEKITA J SULLIVAN DPT (OWNER)
(864) 906-5045
Entity
Organization
Contact information
Practice address
111 EARLE ST STE D, CLEMSON, SC 29631-1545
(864) 722-9035
Mailing address
111 EARLE ST STE D, CLEMSON, SC 29631-1545
(864) 722-9035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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