Individual
CHARLES DENNIS DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1521 N CARPENTER RD STE D1, MODESTO, CA 95351-1217
(209) 578-3290
(209) 550-4944
Mailing address
1521 N CARPENTER RD STE D1, MODESTO, CA 95351-1217
(209) 578-3290
(209) 550-4944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5984
CA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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