Individual
MR. CHARLES DAVID PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
304 FIRST ST, MULTISPORT PHYSICAL THERAPY AND FITNESS PLLC, LIVERPOOL, NY 13088
(315) 451-2270
(315) 451-2271
Mailing address
304 FIRST ST, MULTISPORT PHYSICAL THERAPY AND FITNESS PLLC, LIVERPOOL, NY 13088
(315) 451-2270
(315) 451-2271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RA5616
PIN
NY
Enumeration date
10/26/2006
Last updated
07/08/2007
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