Individual
MYESHA LA SHON GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3008 WESTWINDS CT, CHARLOTTE, NC 28214-8451
(301) 536-8204
Mailing address
3008 WESTWINDS CT, CHARLOTTE, NC 28214-8451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23454
MD
314000000X
Skilled Nursing Facility
Primary
13900
NC
Other
Enumeration date
05/31/2011
Last updated
03/12/2015
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