Organization
EDEN SPORTS, INC.
Active
Other names
Therasport
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
4446 US HIGHWAY 220 N STE A, SUMMERFIELD VILLAGE, SUMMERFIELD, NC 27358-9415
(336) 643-7335
(336) 643-7365
Mailing address
665 PHILADELPHIA ST, INDIANA, PA 15701-3941
(724) 465-3496
(724) 465-3726
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
06/15/2009
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