Provider Demographics
NPI:1689286122
Name:2662 PURSUITS LLC
Entity Type:Organization
Organization Name:2662 PURSUITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER AND DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:CURVIN
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:828-246-6104
Mailing Address - Street 1:279 PARAGON PKWY
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8509
Mailing Address - Country:US
Mailing Address - Phone:828-246-6104
Mailing Address - Fax:828-246-0114
Practice Address - Street 1:279 PARAGON PKWY
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8509
Practice Address - Country:US
Practice Address - Phone:828-246-6104
Practice Address - Fax:828-246-0114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:2662 PURSUITS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy