Organization
PHYSIOFOCUS ORTHOPEDIC AND SPORTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CUSACK (OPERATIONS MANAGER)
(224) 392-4872
Entity
Organization
Contact information
Practice address
7239 PINEVILLE MATTHEWS RD, SUITE 400, CHARLOTTE, NC 28226-6153
(980) 224-7958
(980) 224-7973
Mailing address
4006 CAMROSE CROSSING LN, MATTHEWS, NC 28104-6831
(224) 392-4872
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11158
NC
Other
Enumeration date
04/18/2012
Last updated
07/05/2012
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