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Organization

INTEGRATIVE MASSAGE CONCEPTS OF CHARLOTTE,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOROTHEA WEINSCHUETZ BCTMB,LMBT#4478,CLT (PRESIDENT)
(704) 904-1462
Entity
Organization

Contact information

Practice address
6747 FAIRVIEW RD, SUITE D, CHARLOTTE, NC 28210-3354
(704) 904-1462
(704) 364-4377
Mailing address
6747 FAIRVIEW RD, SUITE D, CHARLOTTE, NC 28210-3354
(704) 904-1462
(704) 364-4377

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
LMBT#4478
NC
225700000X
Massage Therapist
Primary
LMBT#4478
NC

Other

Enumeration date
10/19/2015
Last updated
10/19/2015
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