Individual
BETHANY SEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLT
Contact information
Practice address
1918 RANDOLPH RD STE 175, CHARLOTTE, NC 28207-1107
(704) 316-1900
Mailing address
1918 RANDOLPH RD STE 175, CHARLOTTE, NC 28207-1107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P100244E
NC
225100000X
Physical Therapist
Primary
P20456
NC
225100000X
Physical Therapist
PT33783
FL
Other
Enumeration date
08/28/2018
Last updated
01/25/2022
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