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Individual

CARLY HOLTHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3030 RANDOLPH RD STE 105, CHARLOTTE, NC 28211-1365
(704) 512-4420
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10343
SC
225100000X
Physical Therapist
Primary
P23952
NC

Other

Enumeration date
08/19/2020
Last updated
04/22/2025
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