Individual
MR. CHARLES JOHN WEINMANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
196 SOUTH ST, NORTHAMPTON, MA 01060-4023
(413) 586-9004
Mailing address
196 SOUTH ST, NORTHAMPTON, MA 01060-4023
(413) 586-9004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00207
MA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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