Most Relevant Information
Provider Data
| NPI Number: | 1003529561 |
| Provider Name: | GELT HARIDHAS PUSHPA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | P17593 |
Most Important Dates
| Enumeration Date: | 12/29/2022 |
| Last Updated: | 05/06/2024 |
Provider Practice Location
445 S KINGS DR
CHARLOTTE
NC
282043041
Practice Location Phone/Fax
| Phone: | 7043841737 |
| Fax: |
Provider Mailing Location
PO BOX 601791
CHARLOTTE
NC
282601791
Provider Mailing Phone/Fax
| Phone: | 7043841737 |
| Fax: | 7043841739 |