Individual
JACOB SCHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL, CHARLOTTE, NC 28277-4652
(043) 233-4097
(704) 323-3982
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-3611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1-0004185
DE
225100000X
Physical Therapist
Primary
P21179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730019
NSC#
NC
Enumeration date
04/15/2019
Last updated
10/24/2022
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