Individual
MRS. ANUSHA MADANAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2415 SANDY PORTER RD, CHARLOTTE, NC 28273-3695
(704) 583-0430
Mailing address
9604 WOBURN RD, CHARLOTTE, NC 28277-1967
(980) 322-7374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
Primary
P15694
NC
Other
Enumeration date
09/08/2015
Last updated
04/23/2024
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