Organization
X-TRA PERFORMANCE & PHYSICAL THERAPY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BURGESS (OWNER)
(704) 762-0340
Entity
Organization
Contact information
Practice address
1504 KENTUCKY ST, SALISBURY, NC 28144-6500
(704) 762-0340
Mailing address
1454 GENTRY MEMORIAL HWY, EASLEY, SC 29640-6940
(864) 644-2700
(864) 644-2710
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1877
NC
Other
Enumeration date
03/15/2011
Last updated
04/06/2016
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