Individual
KARLA KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8919 PARK RD, CHARLOTTE, NC 28210-7629
(704) 551-7100
Mailing address
14506 CARDAMON CT, CHARLOTTE, NC 28273-7802
(704) 588-6103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1532
NC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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