Organization
NEUROSPORT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN A MEDAS DPT (PHYSICAL THERAPIST)
(646) 483-6829
Entity
Organization
Contact information
Practice address
5901 BEAROAK LN, CHARLOTTE, NC 28269-9164
(646) 483-6829
Mailing address
5901 BEAROAK LN, CHARLOTTE, NC 28269-9164
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/10/2020
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