Activade LLC
NPI #1003521089 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003521089
- Entity Type
- Organization
- Organization Name
- Activade LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 13, 2023
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 809 WOODRUFF PL
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28208-4553
- Phone
- (704) 839-2019
Authorized Official
- Name
- KENNETH CORCORAN, PT
- Title
- CEO
- Phone
- (704) 839-2019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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