Individual
THERESA HENNEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
9705 NORTHEAST PKWY STE 102, MATTHEWS, NC 28105-9704
(704) 430-5897
Mailing address
7411 OLD WELL ST APT I, CHARLOTTE, NC 28212-0010
(704) 430-5897
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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