Individual
MS. MICHELLE CHUCHACZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
(910) 323-9568
Mailing address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
(910) 323-9568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
468
NC
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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