Organization
PHYSICAL THERAPY CENTER TWO, LLC
Active
Other names
Physical Therapy Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD DOUGLAS KOOS PT (OWNER)
(704) 502-9205
Entity
Organization
Contact information
Practice address
2400 SOUTH BLVD., CHARLOTTE, NC 28203
(704) 283-6700
(704) 283-6713
Mailing address
1730 DICKERSON BLVD, SUITE D, MONROE, NC 28110-2885
(704) 283-6700
(704) 283-6713
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P9417
NC
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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