Individual
MRS. BETTY J CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
41 MARIE ST, SHEPHERD, TX 77371-2419
(936) 203-8183
Mailing address
41 MARIE ST, SHEPHERD, TX 77371-2419
(936) 203-8183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2037869
TX
Other
Enumeration date
12/24/2014
Last updated
04/16/2015
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