Most Relevant Information
Provider Data
| NPI Number: | 1003323247 |
| Provider Name: | JESSICA HUSCHART |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 17554 |
Most Important Dates
| Enumeration Date: | 01/09/2018 |
| Last Updated: | 01/09/2018 |
Provider Practice Location
1100 BLYTHE BLVD
CHARLOTTE
NC
282035814
Practice Location Phone/Fax
| Phone: | 7043552382 |
| Fax: |
Provider Mailing Location
1100 BLYTHE BLVD
CHARLOTTE
NC
282035814
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |