Organization
ULTRA SPORTS PERFORMANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLAH GEORGE PT, DPT (PHYSICAL THERAPIST)
(704) 524-8165
Entity
Organization
Contact information
Practice address
7733 BALLANTYNE COMMONS PKWY STE 103, CHARLOTTE, NC 28277-4398
(704) 236-0222
Mailing address
7733 BALLANTYNE COMMONS PKWY STE 103, CHARLOTTE, NC 28277-4398
(704) 236-0222
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
07/07/2024
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