Individual
MR. CHARLES ROBERT SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-000737
KY
225100000X
Physical Therapist
PT-2690
OH
Other
Enumeration date
09/12/2006
Last updated
09/11/2025
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