Organization
SELECT PHYSICAL THERAPY
Active
Parent organization
SELECT MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
ADAM STICKLEY (CENTER MANAGER)
(704) 366-5521
Entity
Organization
Contact information
Practice address
2826 RANDOLPH RD, 2ND FLOOR, CHARLOTTE, NC 28211
(704) 366-5521
Mailing address
2826 RANDOLPH RD, 2ND FLOOR, CHARLOTTE, NC 28211
(704) 366-5521
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
16489
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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