Individual
THOMAS NELSON TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
120 SHALLOTTE CROSSING PKWY, SUITE 5 BOX 202, SHALLOTTE, NC 28470-8117
(336) 491-5022
Mailing address
120 SHALLOTTE CROSSING PKWY, SUITE5 BOX 202, SHALLOTTE, NC 28470-8117
(336) 491-5022
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
3980
NC
2251G0304X
Geriatric Physical Therapist
5399
NC
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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