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Organization
NEW MILLENNIUM THERAPY
Active
Organization
NEW MILLENNIUM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LAVAR FREEMAN OTR/L (PRESIDENT)
(704) 906-3585
Entity
Organization
Contact information
Practice address
8213 ESCAFLOWNE AVE, CHARLOTTE, NC 28216-2265
(704) 906-3585
Mailing address
8213 ESCAFLOWNE AVE, CHARLOTTE, NC 28216-2265
(704) 906-3585
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5090
NC
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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