Organization
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Active
Parent organization
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Authorized official
MR. BRIAN S MCCLUSKEY PH.D. (PRESIDENT)
(706) 322-7762
Entity
Organization
Contact information
Practice address
2989 SUNSET BLVD, WEST COLUMBIA, SC 29169-3497
(803) 791-1136
(803) 739-5234
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
(803) 791-1136
(803) 739-5234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
225X00000X
Occupational Therapist
—
SC
335E00000X
Prosthetic/Orthotic Supplier
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1100
—
SC
Enumeration date
11/14/2006
Last updated
07/16/2007
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