Ignite Performance Center and Sports Rehab LLC

NPI #1053705541 in Velma, Oklahoma

Provider Information

NPI Number
1053705541
Entity Type
Organization
Organization Name
Ignite Performance Center and Sports Rehab LLC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 24, 2015
Last Updated
Mar 24, 2015

Practice Location

Address
313 MAIN STREET
City
Velma
ZIP Code
73491-9998
Phone
(409) 392-7628

Authorized Official

Name
MR. GEORGE EDDIE DEWBRE
Title
OWNER/MANAGER
Phone
(409) 392-7628

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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