Organization
SANDHILLS SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER POULIN PT (PRESIDENT)
(910) 420-1419
Entity
Organization
Contact information
Practice address
295 PINEHURST AVE, SOUTHERN PINES, NC 28387-7051
(910) 603-2788
Mailing address
5 GLEN ROSS DR, PINEHURST, NC 28374-7053
(910) 603-2788
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
13681
NC
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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