Organization
ATHLETIC ADVANTAGE, INC.
Active
Other names
Sports Physical Therapy & Performance Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON JAMES GAUVIN PT, ATC, SCS, CSCS (PRESIDENT, CEO, PHYSICAL THERAPIST)
(919) 484-0033
Entity
Organization
Contact information
Practice address
6224 FAYETTEVILLE RD, STE. 101, DURHAM, NC 27713
(919) 484-0033
(919) 484-3008
Mailing address
203 CREEK PARK DR, CARY, NC 27513-5650
(919) 484-0033
(919) 484-3008
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
6073
NC
Other
Enumeration date
05/09/2007
Last updated
02/19/2013
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