Individual
CHARLES DAKOTA SLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
799 HICKORY TREE RD, WINSTON SALEM, NC 27127-9243
(336) 764-4583
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23097
NC
Other
Enumeration date
08/30/2024
Last updated
09/25/2025
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