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Organization
PULSE SPORT WEAR INC
Active
Organization
PULSE SPORT WEAR INC
Active
Other names
the pulse wear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN O SMITH (CEO)
(704) 496-0501
Entity
Organization
Contact information
Practice address
818 FRIENDLY PL, CHARLOTTE, NC 28213-5800
(704) 496-0501
Mailing address
818 FRIENDLY PL, CHARLOTTE, NC 28213-5800
(704) 496-0501
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
NC
Other
Enumeration date
10/14/2012
Last updated
11/21/2014
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