Organization
ATHELITE PHYSICAL PERFORMANCE CENTER OF LAKE NORMAN, LLC
Active
Other names
AthElite PPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J BOYLE P.T.; D.P.T. (CEO)
(704) 241-0889
Entity
Organization
Contact information
Practice address
2809 AMITY HILL RD, STATESVILLE, NC 28677-9744
(704) 768-1013
(704) 264-0711
Mailing address
1385 E GARRISON BLVD, GASTONIA, NC 28054-5127
(704) 768-1013
(704) 264-0711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
01/13/2011
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