Organization
BACK TO INDEPENDENCE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCI PERNOUD OT (OWNER)
(980) 277-7105
Entity
Organization
Contact information
Practice address
4801 CHASTAIN AVE STE 194, CHARLOTTE, NC 28217-2136
(980) 277-7105
Mailing address
4801 CHASTAIN AVE STE 194, CHARLOTTE, NC 28217-2136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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