Individual
CASEY ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4833 BEREWICK TOWN CENTER DR STE H, CHARLOTTE, NC 28278-6721
(980) 880-6780
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11765
SC
225100000X
Physical Therapist
Primary
P21928
NC
Other
Enumeration date
02/17/2023
Last updated
02/24/2023
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