Tammy J Pereboom PT

NPI 1962413286 - Physical Therapist - 225100000X

NPI Details
NPI 1962413286
Gender Female
Enumeration Date 08/11/2006
Last Updated 02/07/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4613 BAYBERRY DR
CHARLOTTE NC, 28209-2906, US
Phone (704) 968-2690
Fax
Business Location
4613 BAYBERRY DR
CHARLOTTE NC, 28209-2906, US
Phone (704) 968-2690
Fax
Toxanomy
Taxonomy Code 225100000X
License State North Carolina
License Number 5468
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According to our database, Tammy J Pereboom PT NPI is 1962413286, taxonomy code is 225100000X and license number is 5468, license state is located at North Carolina. Tammy J Pereboom PT physically located at 4613 Bayberry Dr, Charlotte NC, 28209-2906. NPI Number Tammy J Pereboom PT has the Individual type.

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1962413286 NPI number is provided on an as is basis without warranty of any kind. 1962413286 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy J Pereboom PT are for informational purposes only.