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LAURA MASON DEMILT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(703) 532-5364
Mailing address
129 CREEK VALLEY DR, CHARLOTTE, NC 28270-0916
(336) 287-2936

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11705
NC

Other

Enumeration date
05/05/2009
Last updated
04/19/2011
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