Individual
PETER SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
969 COX RD, GASTONIA, NC 28054-3455
(704) 866-8596
Mailing address
969 COX RD, GASTONIA, NC 28054-3455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
041.0133906
VT
225200000X
Physical Therapy Assistant
4309
SC
225200000X
Physical Therapy Assistant
Primary
A7101
NC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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