Individual
KELLY STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11230 BALLANTYNE TRACE CT, CHARLOTTE, NC 28277-2791
(704) 448-2364
Mailing address
1107 FOXFIELD RD, WAXHAW, NC 28173-7543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4171
NC
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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