Organization
GREG OTT'S CENTER FOR PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
219 WILLIAMSON RD STE 1104, MOORESVILLE, NC 28117-6928
(704) 360-2364
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P9573
NC
Other
Enumeration date
02/07/2013
Last updated
12/27/2023
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