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NPI Code Detail

MEDICARE: MARTHA E MEREDITH PT

MEDICARE: MARTHA E MEREDITH PT
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 Therapist7718NC

General Provider Information

NPI Number : 1396998332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA E MEREDITH PT
Provider Business Mailing Address
First Line : 1100 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5814
Country : US
Telephone Number : 704-355-8484
Fax Number : 704-355-4231
Provider Business Practice Location Address
First Line : 275 BEATTY DR
Second Line :
City : BELMONT
State : NC
Zip : 28012-2715
Country : US
Telephone Number : 704-512-3332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2008
Last Update Date : 11/03/2008

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Directions to “ MARTHA E MEREDITH PT” Practice Location

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