CHARLES P STORY

MAGNOLIA, AR
NPI1467701250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA2665)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
Mr. CHARLES P STORY PTA
191 E COLUMBIA # 25
MAGNOLIA, AR 71753
Phone number: 870-234-3996
Mailing Address
Mr. CHARLES P STORY PTA
191 E COLUMBIA # 25
MAGNOLIA, AR 71753
Phone number: 870-234-3996
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