Individual
MR. CHARLES MICHAEL PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
115 E 57TH ST STE 520, NEW YORK, NY 10022-2221
(212) 755-5500
Mailing address
13 MAIR AVE, TOTOWA, NJ 07512-2312
(201) 889-0119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041396
NY
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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