Individual
CHRISTINE REDMON LYSAGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-0172
(252) 744-0229
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10912
NC
225100000X
Physical Therapist
Primary
10912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1544Y
BCBSNC
NC
05
—
1548596133
—
NC
Enumeration date
11/02/2009
Last updated
02/20/2024
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