| Organization Name: | PURE PERFORMANCE SPORTSCARE AND REHABILITATION |
| NPI Number: | 1912168816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER ANDREW HOROWICZ (DIRECTOR) |
| Mailing Address: | 547 Willowdale Drive Shepherdstown |
| State: | WV US |
| Postal Code: | 25443 |
| Phone Number: | 3048762715 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2008 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | PT 002689 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |