Individual
CORY RANDOLPH LAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 E 7TH ST STE 206, CHARLOTTE, NC 28204
(704) 333-1052
(704) 333-1054
Mailing address
2630 E 7TH ST STE 206, CHARLOTTE, NC 28204-4319
(704) 333-1052
(704) 333-1054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17575
NC
Other
Enumeration date
11/09/2017
Last updated
06/21/2018
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