Organization
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Active
Parent organization
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Authorized official
MR. BRIAN S MCCLUSKEY PH.D. (PRESIDENT)
(706) 322-7762
Entity
Organization
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 253-6721
(803) 799-8177
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
(803) 253-6721
(803) 799-8177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
SC
225X00000X
Occupational Therapist
Primary
—
SC
335E00000X
Prosthetic/Orthotic Supplier
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1100
—
SC
Enumeration date
11/14/2006
Last updated
06/26/2009
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