Individual
HENA SUBASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 PARK RD STE 104, CHARLOTTE, NC 28203-6664
(704) 919-1280
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11757
SC
225100000X
Physical Therapist
Primary
P21932
NC
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
03/04/2026
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