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1922311067
BREANNA RAE CRENSHAW
CHARLOTTE, NC
NPI
1922311067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 12702)
Enumeration Date
2010-07-19
Last Update Date
2013-03-03
Business Address
Miss BREANNA RAE CRENSHAW DPT
4500 LONGWOOD DR
CHARLOTTE, NC 28209-3023
Phone number: 704-340-8055
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Mailing Address
Miss BREANNA RAE CRENSHAW DPT
4500 LONGWOOD DR
CHARLOTTE, NC 28209-3023
Phone number: 704-340-8055
Copy
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