Charles Vincent Tesch

NPI 1568767739 - Physical Therapist - 225100000X

NPI Details
NPI 1568767739
Gender Male
Enumeration Date 01/20/2011
Last Updated 01/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
450 S 9TH AVE
PIGGOTT AR, 72454-2501, US
Phone (870) 598-2291
Fax
Business Location
4704 JOHN CONES PL
JONESBORO AR, 72404-8384, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Arkansas
License Number PT730
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According to our database, Charles Vincent Tesch NPI is 1568767739, taxonomy code is 225100000X and license number is PT730, license state is located at Arkansas. Charles Vincent Tesch physically located at 450 S 9th Ave, Piggott AR, 72454-2501. NPI Number Charles Vincent Tesch has the Individual type.

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1568767739 NPI number is provided on an as is basis without warranty of any kind. 1568767739 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Vincent Tesch are for informational purposes only.