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1366691321
SUSMITHA KANCHARLA
PINEVILLE, NC
NPI
1366691321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10396)
Enumeration Date
2008-09-15
Last Update Date
2008-09-15
Business Address
-- SUSMITHA KANCHARLA PT
13150 DORMAN RD
PINEVILLE, NC 28134-9382
Phone number: 704-542-0312
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Mailing Address
-- SUSMITHA KANCHARLA PT
2156 BLUEBONNET LN
MATTHEWS, NC 28104-8558
Phone number: 704-502-8892
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