Individual
MRS. VANESSA MARIE GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
6623 EXECUTIVE CIR, CHARLOTTE, NC 28212-8251
(980) 343-5450
Mailing address
6623 EXECUTIVE CIR, CHARLOTTE, NC 28212-8251
(980) 343-5450
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
P12738
NC
Other
Enumeration date
08/14/2010
Last updated
03/26/2026
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