CHARLTON PE

LOGANSPORT, IN
NPI1063121929
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05008048A)
Enumeration Date2022-11-21
Last Update Date2022-11-21
Business Address
CHARLTON PE
2635 N ROYAL CENTER PIKE
LOGANSPORT, IN 46947-8671
Phone number: 574-398-1411
Mailing Address
CHARLTON PE
2635 N ROYAL CENTER PIKE
LOGANSPORT, IN 46947-8671
Phone number: 574-398-1411
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