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1174914188
TRAVIS GERRALD
CHARLOTTE, NC
NPI
1174914188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P19583)
Enumeration Date
2015-02-12
Last Update Date
2021-06-11
Business Address
TRAVIS GERRALD PT
6324 FAIRVIEW RD STE 202
CHARLOTTE, NC 28210-3361
Phone number: 980-302-9740
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Mailing Address
TRAVIS GERRALD PT
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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