Charles E St. Vincent P.T.

NPI 1073693586 - Physical Therapist - 225100000X

NPI Details
NPI 1073693586
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
862 MEINECKE AVE
STE. 101
SAN LUIS OBISPO CA, 93405-1721, US
Phone (805) 541-4717
Fax (805) 541-4235
Business Location
15 CHUPARROSA DR
SAN LUIS OBISPO CA, 93401-7411, US
Phone (805) 541-4717
Fax (805) 541-4235
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT5452
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According to our database, Charles E St. Vincent P.T. NPI is 1073693586, taxonomy code is 225100000X and license number is PT5452, license state is located at California. Charles E St. Vincent P.T. physically located at 862 Meinecke Ave, San Luis Obispo CA, 93405-1721. NPI Number Charles E St. Vincent P.T. has the Individual type.

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1073693586 NPI number is provided on an as is basis without warranty of any kind. 1073693586 is maintained by the National Plan & Provider Enumeration System. The contents of Charles E St. Vincent P.T. are for informational purposes only.