Organization
MOJO SPORTCLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHANNES P DUPLESSIS PT (OWNER/MANAGER)
(910) 536-5667
Entity
Organization
Contact information
Practice address
6859 MONUMENT DR, WILMINGTON, NC 28405-4178
(910) 338-5545
(910) 338-5345
Mailing address
8401 SARENSEN CT, WILMINGTON, NC 28412-3393
(910) 536-5667
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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