Eden Sports, Inc.
NPI #1902830284 in Summerfield, North Carolina
Provider Information
- NPI Number
- 1902830284
- Entity Type
- Organization
- Organization Name
- Eden Sports, Inc.
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 4446 US HIGHWAY 220 N STE A
- Address 2
- SUMMERFIELD VILLAGE
- City
- Summerfield
- State
- North Carolina
- ZIP Code
- 27358-9415
- Phone
- (336) 643-7335
Authorized Official
- Name
- MRS. JAYNE FLECK POOL
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (469) 467-8705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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