Organization
BASECAMP PHYSIOTHERAPY AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA VAN GORDER (OWNER)
(760) 473-2205
Entity
Organization
Contact information
Practice address
328 RONEY ST, DURHAM, NC 27701
(919) 808-2273
Mailing address
1 AUTUMN WOODS DR, DURHAM, NC 27713-8640
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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