Individual
KATHERINE HOLTON DECAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8919 PARK RD, CHARLOTTE, NC 28210-9600
(704) 551-6800
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
(919) 424-5085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6744
SC
225100000X
Physical Therapist
Primary
P17625
NC
Other
Enumeration date
03/20/2018
Last updated
05/10/2022
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