Individual
CHARLIANN SCOTT VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13245 REESE BLVD W STE 100, HUNTERSVILLE, NC 28078-6390
(704) 316-5096
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15603
NC
Other
Enumeration date
06/17/2015
Last updated
10/26/2020
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