Individual
MRS. CORLEE BERTELSON LOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
308 GREENVILLE BLVD SE STE B3, GREENVILLE, NC 27858-5758
(252) 215-5225
(252) 215-5226
Mailing address
6463 W H AVE, KALAMAZOO, MI 49009-8557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014299
MI
225100000X
Physical Therapist
P17877
NC
Other
Enumeration date
03/16/2018
Last updated
05/04/2018
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