CHARLES O GRAVATT

RALEIGH, NC
NPI1437163748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  12846)
Additional Taxonomies225100000X Physical Therapist
(Licence: MI  5501012011)
Enumeration Date2006-07-29
Last Update Date2013-10-08
Business Address
-- CHARLES O GRAVATT MSPT
3000 NEW BERN AVE
RALEIGH, NC 27610-1231
Phone number: 919-350-1508
Mailing Address
-- CHARLES O GRAVATT MSPT
3000 NEW BERN AVE
RALEIGH, NC 27610-1231
Phone number: 919-350-1508