Organization
RENEW PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC POWELL DPT (OWNER)
(443) 569-1559
Entity
Organization
Contact information
Practice address
1010 N MAIN ST, MOORESVILLE, NC 28115-2358
(704) 397-4454
Mailing address
171 HEYWATCHIS DR, MOORESVILLE, NC 28115-6997
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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