Individual
KRISTEN TASSINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3000 LATROBE DR STE A, CHARLOTTE, NC 28211-5227
(980) 819-8020
Mailing address
3000 LATROBE DR STE A, CHARLOTTE, NC 28211-5227
(980) 819-8020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A8063
LICENSE NUMBER
NC
Enumeration date
02/20/2023
Last updated
02/20/2023
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