Individual
ANSLEY WALKER BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10305 HAMPTONS PARK DR STE 101, HUNTERSVILLE, NC 28078-7221
(704) 384-5520
(704) 316-1848
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5520
(704) 316-1848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P7648
NC
2251X0800X
Orthopedic Physical Therapist
7648
NC
Other
Enumeration date
11/10/2014
Last updated
08/22/2024
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