Individual
SUSAN SWIFT WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4221 TUCKASEEGEE RD, CHARLOTTE, NC 28208-2801
(704) 392-4057
(704) 392-4788
Mailing address
PO BOX 667744, CHARLOTTE, NC 28266-7744
(704) 860-0569
(704) 392-4788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
439
PTA
NC
Enumeration date
03/20/2007
Last updated
07/08/2007
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