Individual
MARK HUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 UPSALL CT, CHARLOTTE, NC 28215-7355
(704) 910-7106
Mailing address
8201 UPSALL CT, CHARLOTTE, NC 28215-7355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4519
NC
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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