Charles H. Brockmann PT

NPI 1134313679 - Physical Therapist - 225100000X

NPI Details
NPI 1134313679
Gender Male
Enumeration Date 08/28/2007
Last Updated 08/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1903 S HAWTHORNE RD
DBA EDWIN H. MARTINAT OUTPATIENT REHABILITATION CENTER
WINSTON SALEM NC, 27103-3916, US
Phone (336) 718-4820
Fax
Business Location
2000 FRONTIS PLAZA BLVD STE 200
NOVANT MEDICAL GROUP
WINSTON SALEM NC, 27103-5616, US
Phone (336) 277-2435
Fax (336) 277-9275
Toxanomy
Taxonomy Code 225100000X
License State North Carolina
License Number 363
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According to our database, Charles H. Brockmann PT NPI is 1134313679, taxonomy code is 225100000X and license number is 363, license state is located at North Carolina. Charles H. Brockmann PT physically located at 1903 S Hawthorne Rd, Winston Salem NC, 27103-3916. NPI Number Charles H. Brockmann PT has the Individual type.

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1134313679 NPI number is provided on an as is basis without warranty of any kind. 1134313679 is maintained by the National Plan & Provider Enumeration System. The contents of Charles H. Brockmann PT are for informational purposes only.