Individual
CHARLANNE KATHY BIRICOCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1505 BALLARD CT, KERNERSVILLE, NC 27284-7938
(336) 661-5328
Mailing address
1505 BALLARD CT, KERNERSVILLE, NC 27284-7938
(336) 661-5328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13292
NC
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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