Individual
CHARLES WARREN BARTLESON V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 PACIFIC COAST HWY, SEAL BEACH, CA 90740-6214
(562) 598-5500
Mailing address
715 W 28TH ST, SAN PEDRO, CA 90731-6656
(310) 982-0695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295130
CA
Other
Enumeration date
08/21/2018
Last updated
09/04/2019
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