Individual
EMMA BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2630 E 7TH ST STE 206, CHARLOTTE, NC 28204-4319
(704) 333-1052
Mailing address
2630 E 7TH ST STE 206, CHARLOTTE, NC 28204-4319
(704) 333-1052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18172
NC
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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