Individual
MRS. THERESA AILEEN VIRSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E
Contact information
Practice address
2225 FREEDOM DR, CHARLOTTE, NC 28208-1000
(704) 384-7390
(704) 384-5669
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
864112
FL
133V00000X
Registered Dietitian
Primary
L008189
NC
Other
Enumeration date
05/16/2006
Last updated
04/29/2025
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