Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 17, 2012
License(s)
12070 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1100 BLYTHE BLVD | Charlotte, NC 28203-5814 | 704-355-4645 |
| LOCATION | 275 BEATTY DR | Belmont, NC 28012-2715 | 704-512-3380 |
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