JO ANNE BAUCOM

CHARLOTTE, NC
NPI1326273145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  241)
Enumeration Date2009-05-22
Last Update Date2009-05-22
Business Address
-- JO ANNE BAUCOM LPTA
5114 PROVIDENCE RD
CHARLOTTE, NC 28226-5852
Phone number: 704-364-2485
Mailing Address
-- JO ANNE BAUCOM LPTA
5114 PROVIDENCE RD
CHARLOTTE, NC 28226-5852
Phone number: 919-424-5080
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