Organization
CHARLOTTE ONE ON ONE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WHITE PT (OWNER)
(860) 490-3072
Entity
Organization
Contact information
Practice address
4310 PARK RD APT 103, CHARLOTTE, NC 28209-0006
(860) 490-3072
Mailing address
4310 PARK RD APT 103, CHARLOTTE, NC 28209-0006
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P11631
NC
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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