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Organization
CAROLINA THERAPY CENTER LLC
Active
Organization
CAROLINA THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARGARITA M GRISHKOFF (PRESIDENT)
(704) 544-5244
Entity
Organization
Contact information
Practice address
7215 PINEVILLE MATTHEWS RD, SUITE 300, CHARLOTTE, NC 28226-6173
(704) 544-5244
(704) 544-5224
Mailing address
7215 PINEVILLE MATTHEWS RD, SUITE 300, CHARLOTTE, NC 28226-6173
(704) 544-5244
(704) 544-5224
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
122951
NC
Other
Enumeration date
05/09/2006
Last updated
04/29/2009
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