Individual
MARQUITA B ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-1078
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4645
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
1706
NC
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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