Individual
CHARLES H. BROCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1903 S HAWTHORNE RD, DBA EDWIN H. MARTINAT OUTPATIENT REHABILITATION CENTER, WINSTON SALEM, NC 27103-3916
(336) 718-4820
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, NOVANT MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
363
NC
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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