Individual
HARI PENMETSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5326 WAVERLY LYNN LN, CHARLOTTE, NC 28269-1000
(201) 647-3303
Mailing address
5326 WAVERLY LYNN LN, CHARLOTTE, NC 28269-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12630
NC
Other
Enumeration date
04/13/2012
Last updated
12/16/2024
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