CHARLES ANTHONY INNISS

BOSTON, MA
NPI1790925527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  15232)
Enumeration Date2009-03-06
Last Update Date2009-03-06
Business Address
-- CHARLES ANTHONY INNISS DPT
654 BEACON ST
BOSTON, MA 02215-2099
Phone number: 617-536-1161
Mailing Address
-- CHARLES ANTHONY INNISS DPT
654 BEACON ST
BOSTON, MA 02215-2099
Phone number: 617-536-1161
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