Organization
REVIVE THERAPY LLC
Active
Other names
Covenant Case Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON NANCE WISE PTA (THERAPY SERVICES MANAGER)
(844) 777-2267
Entity
Organization
Contact information
Practice address
2000 W MAIN ST STE C, ALBEMARLE, NC 28001-5446
(844) 777-2267
Mailing address
2000 W MAIN ST STE C, ALBEMARLE, NC 28001-5446
(844) 777-2267
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/23/2022
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