Organization
SPARK PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCHIFF PT, DPT (OWNER/MEMBER)
(614) 352-3343
Entity
Organization
Contact information
Practice address
7810 MIDDLE POYNER DR STE 101, RALEIGH, NC 27616-2898
(614) 352-3343
Mailing address
4100 HERITAGE VIEW TRL, WAKE FOREST, NC 27587-3919
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/04/2022
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