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Organization
ORTHOCAROLINA, PA
Active
Organization
ORTHOCAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
2400 W MALLARD CREEK CHURCH RD, CHARLOTTE, NC 28262-2324
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
07/22/2013
Last updated
02/23/2017
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