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Individual

MRS. TEMELIA KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
11218 PROVIDENCE RD W STE C, CHARLOTTE, NC 28277-4787
(704) 780-1558
(704) 780-1108
Mailing address
11218 PROVIDENCE RD W STE C, CHARLOTTE, NC 28277-4787
(704) 780-1558
(704) 780-1108

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CP027956T
NC

Other

Enumeration date
02/08/2024
Last updated
02/08/2024
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