Individual
CHARLES BERSOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1341 BLALOCK RD, HOUSTON, TX 77055-6427
(713) 468-7821
Mailing address
1341 BLALOCK RD, HOUSTON, TX 77055-6427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2139699
TX
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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