Individual
MARIAH GENAY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 806-5471
Mailing address
8433 RED CYPRESS CT, CHARLOTTE, NC 28216-1691
(704) 806-5471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7870
NC
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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