Organization
CAROLINA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARGE GRISHKOFF (PRESIDENT)
(704) 542-4800
Entity
Organization
Contact information
Practice address
7108 PINEVILLE MATTHEWS RD, SUITE 101, CHARLOTTE, NC 28226-8187
(704) 542-4800
(704) 542-4808
Mailing address
7108 PINEVILLE MATTHEWS RD, SUITE 101, CHARLOTTE, NC 28226-8187
(704) 542-4800
(704) 542-4808
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
122951
NC
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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