Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 12, 2013
License(s)
P16213 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6115 PARK SOUTH DR STE 360 | Charlotte, NC 28210-0227 | 980-237-2302 |
| LOCATION | 6115 PARK SOUTH DR STE 360 | Charlotte, NC 28210-0227 | 980-237-2302 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.