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Individual

MRS. CHARI ANN CROW

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
4221 TUCKASEEGEE RD, CHARLOTTE, NC 28204
(704) 392-4057
(704) 392-4788
Mailing address
PO BOX 667744, CHARLOTTE, NC 28204
(704) 392-4057
(704) 392-4788

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4648
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079R2
BCBS
NC
01
E3323
MEDCOST
NC
Enumeration date
12/01/2005
Last updated
07/08/2007
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