Individual
AMAKA COURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 WAKEFIELD DR APT C, CHARLOTTE, NC 28209-3148
(704) 285-8207
Mailing address
507 WAKEFIELD DR APT C, CHARLOTTE, NC 28209-3148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15461
NC
Other
Enumeration date
04/04/2017
Last updated
11/14/2023
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