Doctor Name: | SUSMITHA KANCHARLA |
NPI Number: | 1366691321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 10396 |
Business Practice Address: | 13150 Dorman Rd Pineville, NC - 281349382 |
Business Phone Number: | 7045420312 |
Business Fax Number: | |
Mailing Address: | 2156 Bluebonnet Ln, MATTHEWS |
State: | NC |
Postal Code: | 281048558 |
Phone Number: | 7045028892 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2008 |
NPI Last Update Date: | 09/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |