Renegade Movement and Performance, LLC
NPI #1770100893 in Bedford, New Hampshire
Provider Information
- NPI Number
- 1770100893
- Entity Type
- Organization
- Organization Name
- Renegade Movement and Performance, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 6, 2020
- Last Updated
- Jun 15, 2022
Practice Location
- Address
- 10 COMMERCE PARK N STE 7B
- City
- Bedford
- State
- New Hampshire
- ZIP Code
- 03110-6907
- Phone
- (603) 267-0432
Authorized Official
- Name
- ALEXIS BRUNELLE, PT, DPT
- Title
- PHYSICAL THERAPIST, CO-OWNER
- Phone
- (315) 573-0705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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