Organization
SCISPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB EDWARD STRASSBERG PT, DPT (OWNER)
(910) 274-2341
Entity
Organization
Contact information
Practice address
1319 MILITARY CUTOFF RD STE AA, WILMINGTON, NC 28405-3640
(910) 274-2341
Mailing address
5638 OAK BLUFF LN, WILMINGTON, NC 28409-2382
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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