Individual
CHARLES L LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17705 RED OAK DR, HOUSTON, TX 77090-7706
(281) 440-0966
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1140259
TX
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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