Organization
THE CHARLOTTE ATHLETE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KENAS PT (PHYSICAL THERAPIST/OWNER)
(215) 380-3187
Entity
Organization
Contact information
Practice address
5046 OLD PINEVILLE RD STE 190, CHARLOTTE, NC 28217-3035
(215) 380-3187
Mailing address
260 W BLAND ST, CHARLOTTE, NC 28203-4104
(215) 380-3187
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
P16460
NC
Other
Enumeration date
02/15/2018
Last updated
12/21/2020
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