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NPI Code Detail

MEDICARE: RACHEL RAULERSON

MEDICARE: RACHEL RAULERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP19878NC

General Provider Information

NPI Number : 1538743075
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RAULERSON
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6324 FAIRVIEW RD STE 202
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3361
Country : US
Telephone Number : 980-302-9740
Fax Number : 980-302-9750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 07/15/2021

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Directions to “ RACHEL RAULERSON ” Practice Location

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