Individual
MISS BREANNA RAE CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4500 LONGWOOD DR, CHARLOTTE, NC 28209-3023
(704) 340-8055
Mailing address
4500 LONGWOOD DR, CHARLOTTE, NC 28209-3023
(704) 340-8055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12702
NC
Other
Enumeration date
07/19/2010
Last updated
03/03/2013
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