Individual
HEATHER GARAVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4503 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 721-3157
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16054
NC
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/21/2016
Last updated
11/03/2022
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