Individual
CHRYSTAL LAKE DOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1930 W SUGAR CREEK RD, CHARLOTTE, NC 28262-4952
(704) 598-4480
Mailing address
4225 WATERFORD VALLEY CIR APT 935, CHARLOTTE, NC 28269-3129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14393
NC
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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