TANNER BLAKE HOLDEN

CHARLOTTE, NC
NPI1619597705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P19753)
Enumeration Date2020-04-20
Last Update Date2021-11-30
Business Address
TANNER BLAKE HOLDEN
225 BALDWIN AVE
CHARLOTTE, NC 28204-3109
Phone number: 704-376-1605
Mailing Address
TANNER BLAKE HOLDEN
225 BALDWIN AVE
CHARLOTTE, NC 28204-3109
Phone number: 704-376-1605
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