Organization
COMPLEAT REHAB AND SPORTS THERAPY, LLC
Active
Other names
COMP REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REBECCA HUMPHRIES CMA (PATIENT CARE COORDINATOR)
(704) 879-2532
Entity
Organization
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800
(704) 824-7898
Mailing address
135 SOUTH EAST STREET, MT IDA, AR 71957
(870) 867-4654
(870) 867-2611
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156148742
—
AR
Enumeration date
06/18/2013
Last updated
06/18/2013
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