| Organization Name: | HAVELOCK PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, LLC |
| NPI Number: | 1588623847 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSUE M FIGUEROA (GENERAL MANAGER) |
| Mailing Address: | 1202 E Main St Havelock |
| State: | NC US |
| Postal Code: | 285322405 |
| Phone Number: | 2524474005 |
| Fax Number: | 2524474001 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | N/A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |