Individual
KIMBERLY CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 CARMEL RD, CHARLOTTE, NC 28226-8106
(704) 544-4979
Mailing address
5820 CARMEL RD, CHARLOTTE, NC 28226-8106
(704) 544-4979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5709
NC
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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