Organization
CAROLINA WOMEN'S RESTORATIVE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA D ALLEN (OWNER)
(704) 910-1991
Entity
Organization
Contact information
Practice address
205 W. WORTHINGTON AVE, CHARLOTTE, NC 28203
(980) 224-8366
Mailing address
7509 LITTLE FOX LN, CHARLOTTE, NC 28227
(704) 910-1991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NC
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/13/2011
Last updated
07/08/2012
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