Healthcare Provider Details

I. General information

NPI: 1952783433
Provider Name (Legal Business Name): EMILIE PASHLEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8912 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE NC
28277-6735
US

IV. Provider business mailing address

8912 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE NC
28277-6735
US

V. Phone/Fax

Practice location:
  • Phone: 704-544-5353
  • Fax: 704-544-5382
Mailing address:
  • Phone: 704-544-5353
  • Fax: 704-544-5382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP15695
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: