Individual
IRENE TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 RANDOLPH RD, CHARLOTTE, NC 28211-5160
(980) 999-4595
Mailing address
2726 HEIDLEBURG LN, CHARLOTTE, NC 28210-7665
(704) 975-8578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP042483T
VA
225100000X
Physical Therapist
P13250
NC
Other
Enumeration date
05/28/2024
Last updated
03/03/2025
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