Organization
THRIVETOTHRIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON DUPLESSIS PT (OWNER/MANAGER)
(910) 536-5667
Entity
Organization
Contact information
Practice address
1606 PHYSICIANS DRIVE, INSIDE PROMINA HEALTH, WILMINGTON, NC 28401
(910) 859-4678
(877) 688-3638
Mailing address
8401 SARENSEN CT, WILMINGTON, NC 28412-3393
(910) 536-5667
(877) 688-3638
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588793210
INDIVIDUAL NPI OF OWNER
—
01
—
P6968
OWNER PT NC STATE LICENSE
NC
Enumeration date
11/16/2018
Last updated
06/11/2019
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