Organization
GRACEFUL PHYSICAL THERAPY AND PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN GOLDSTEIN PT, DPT (OWNER)
(704) 426-3454
Entity
Organization
Contact information
Practice address
1232 ANSLEY PARK DR, INDIAN LAND, SC 29707-7887
(704) 426-3454
Mailing address
1232 ANSLEY PARK DR, INDIAN LAND, SC 29707-7887
(704) 426-3454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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