CHARLES LAWSON VICKERY

BELLINGHAM, WA
NPI1427746585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  60132807)
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
Mr. CHARLES LAWSON VICKERY PTA
1014 11TH ST APT 204
BELLINGHAM, WA 98225-6645
Phone number: 360-927-9611
Mailing Address
Mr. CHARLES LAWSON VICKERY PTA
1014 11TH ST APT 204
BELLINGHAM, WA 98225-6645
Phone number: 360-927-9611