Individual
CHARLES WILLIAM FELLERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 MULBERRY ST, CHARLES TOWN, WV 25414
(304) 724-1101
Mailing address
50 MULBERRY ST, CHARLES TOWN, WV 25414
(304) 724-1101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 002134
WV
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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