Individual
TATTIAUNA COUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5114 PROVIDENCE RD, CHARLOTTE, NC 28226-5852
(704) 365-5252
Mailing address
12314 DIXIE ANN DR, CHARLOTTE, NC 28262-1637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7141
NC
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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