Healthcare Provider Details

I. General information

NPI: 1700360153
Provider Name (Legal Business Name): SABRINA CHABOT HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABRINA CHABOT MPT

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 WILLIAMSON RD SUITE 200
MOORESVILLE NC
28117
US

IV. Provider business mailing address

508 WILLIAMSON RD STE 200
MOORESVILLE NC
28117-9186
US

V. Phone/Fax

Practice location:
  • Phone: 704-360-2595
  • Fax: 704-360-2596
Mailing address:
  • Phone: 704-360-2595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP17327
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: