Individual
CHARLES L OWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
487 WINN WAY, SUITE 201, DECATUR, GA 30030-1735
(404) 297-9315
(404) 297-2741
Mailing address
487 WINN WAY, SUITE 201, DECATUR, GA 30030-1735
(404) 297-9315
(404) 297-2741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005706
GA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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