CHARLES E ST. VINCENT

SAN LUIS OBISPO, CA
NPI1073693586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  pt5452)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- CHARLES E ST. VINCENT P.T.
862 MEINECKE AVE STE. 101
SAN LUIS OBISPO, CA 93405-1721
Phone number: 805-541-4717
Mailing Address
-- CHARLES E ST. VINCENT P.T.
15 CHUPARROSA DR
SAN LUIS OBISPO, CA 93401-7411
Phone number: 805-541-4717