Individual
MRS. LAURA ANNE THEUNISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13635 PROVIDENCE RD, WEDDINGTON, NC 28104
(704) 457-0043
(704) 814-0224
Mailing address
8832 BLAKENEY PROFESSIONAL DR, SUITE 100, CHARLOTTE, NC 28277-6809
(704) 817-6718
(704) 817-7887
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P10953
NC
Other
Enumeration date
02/06/2013
Last updated
09/15/2015
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