Individual
MR. DAVID PAUL RAJ SHANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 271-9947
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 271-9947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14651
NC
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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