Individual
MS. NITHYA SUSAN PULIMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 STOURTON LN, CHARLOTTE, NC 28226-2611
(443) 262-1743
Mailing address
4201 STOURTON LN, CHARLOTTE, NC 28226-2611
(443) 262-1743
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2009
Last updated
08/05/2014
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