Organization
SPORTS AND SPINE PHYSICAL THERAPY NC INC
Active
Other names
Sportspine
Organization subpart
No
Provider details
NPI number
Authorized official
LEON ANDERSON III PT (PRESIDENT)
(216) 593-7070
Entity
Organization
Contact information
Practice address
3627 BEATTIES FORD RD, CHARLOTTE, NC 28216-3249
(704) 394-6677
Mailing address
3627 BEATTIES FORD RD, CHARLOTTE, NC 28216-3249
(704) 394-6677
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212192
—
NC
05
—
GP4663
—
SC
Enumeration date
05/28/2006
Last updated
11/10/2022
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