Organization
HANDCRAFTED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN SOWLES MPT (OWNER, PHYSICAL THERAPIST)
(704) 542-8855
Entity
Organization
Contact information
Practice address
16147 LANCASTER HWY, SUITE 130, CHARLOTTE, NC 28277-2050
(704) 542-8855
(704) 542-8900
Mailing address
16147 LANCASTER HWY, SUITE 130, CHARLOTTE, NC 28277-2050
(704) 542-8855
(704) 542-8900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11209
NC
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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