# COMPLEAT REHAB AND SPORTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Compleat Rehab and Sports
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588003834
- **Authorized official:** MR. REBECCA HUMPHRIES CMA (PATIENT CARE COORDINATOR)
- **Authorized official phone:** (704) 824-7800

## Contact information

- **Practice address:** 2675 COURT DR, GASTONIA, NC 28054-1478
- **Practice address phone:** (704) 824-7800
- **Practice address fax:** (704) 824-7898
- **Mailing address:** 2675 COURT DR, GASTONIA, NC 28054-1478
- **Mailing address phone:** (704) 824-7800
- **Mailing address fax:** (704) 824-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NC | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013