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NPI Code Detail

MEDICARE: PAIGE MROZ DPT, ATC

MEDICARE: PAIGE MROZ DPT, ATC
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
12255A2300XAthletic Trainer
2225100000XPhysical TherapistP23524NC

General Provider Information

NPI Number : 1013481068
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE MROZ DPT, ATC
Provider Business Mailing Address
First Line : 9405 BRYANT FARMS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-1642
Country : US
Telephone Number : 980-207-2707
Fax Number : 980-207-2783
Provider Business Practice Location Address
First Line : 9405 BRYANT FARMS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-1642
Country : US
Telephone Number : 980-207-2707
Fax Number : 980-207-2783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2019
Last Update Date : 10/20/2024

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Directions to “ PAIGE MROZ DPT, ATC” Practice Location

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