Individual
ADAM KASSOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
508 WILLIAMSON RD STE 200, MOORESVILLE, NC 28117-9186
(704) 360-2595
Mailing address
6305 MARGARET CT, INDIAN TRAIL, NC 28079-9507
(336) 575-8515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18557
NC
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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