Individual
MRS. BETH ANN BADOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4221 TUCKASEEGEE RD, CHARLOTTE, NC 28208
(704) 622-0251
(704) 392-4788
Mailing address
4221 TUCKASEEGEE RD, CHARLOTTE, NC 28208
(704) 622-0251
(704) 392-4788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10377
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12478
BLUE CROSS BLUE SHIELD
NC
Enumeration date
01/31/2007
Last updated
07/08/2007
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