Individual
CHARLES EDWARD MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 GRAND CENTRAL AVE, VIENNA, WV 26105-1300
(304) 428-2554
Mailing address
678 OLD SEVEN RD, COOLVILLE, OH 45723-9778
(740) 236-3908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1336
WV
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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