Individual
MRS. ANTOINETTE OHLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4221 TUCKASEEGEE RD, CHARLOTTE, NC 28208-2801
(704) 392-4057
(704) 392-4788
Mailing address
PO BOX 667744, CHARLOTTE, NC 28266-7744
(704) 588-4757
(704) 583-5367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0787F
BCBS
NC
01
—
7068098
AETNA
NC
Enumeration date
11/10/2005
Last updated
07/08/2007
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