Individual
MR. CHARLES RICHARD JOHNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1801 HANOVER PIKE, HAMPSTEAD, MD 21074-2128
(410) 848-1329
Mailing address
418 CLEAR RIDGE RD, UNION BRIDGE, MD 21791-9011
(443) 789-8982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
204416
MD
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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