Organization
PRUE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PRUE PT,DPT,CSCS (MEMBER)
(860) 208-5382
Entity
Organization
Contact information
Practice address
1020 SOUTHHILL DR STE 140, CARY, NC 27513-8629
(919) 678-8828
Mailing address
1020 SOUTHHILL DR STE 140, CARY, NC 27513-8629
(919) 678-8828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
14896
NC
Other
Enumeration date
06/05/2014
Last updated
08/23/2014
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