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Individual

ALLISON MUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
9392 SULLIVAN VALE LN, CHARLOTTE, NC 28215-7073
(980) 701-5757
Mailing address
1310 DELAWARE AVE APT 206, BUFFALO, NY 14209-1124
(585) 419-5849

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19442
NC
225100000X
Physical Therapist

Other

Enumeration date
08/22/2018
Last updated
01/05/2024
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