# HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992394779
- **Authorized official:** BRIAN MCCLUSKEY (CEO/MEMBER)
- **Authorized official phone:** (706) 322-7762

## Contact information

- **Practice address:** 4114 FOREST DR, COLUMBIA, SC 29204-4316
- **Practice address phone:** (803) 939-2213
- **Practice address fax:** (803) 939-2214
- **Mailing address:** PO BOX 8068, COLUMBUS, GA 31908-8068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/15/2021
