CHARNLEY SLACK

OMAHA, NE
NPI1477114247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  0016464)
Enumeration Date2019-06-24
Last Update Date2019-06-24
Business Address
CHARNLEY SLACK DPT
12020 PACIFIC ST
OMAHA, NE 68154-3507
Phone number: 800-259-9897
Mailing Address
CHARNLEY SLACK DPT
6765 W 19TH PL APT 303
LAKEWOOD, CO 80214-1460
Phone number: 415-509-8711
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