Individual
CHARLES K. ROY
Active
Individual
CHARLES K. ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000684
WV
174400000X
Specialist
2305003386
VA
225100000X
Physical Therapist
0156640000
WV
225100000X
Physical Therapist
Primary
2305003386
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156640000
—
WV
05
—
3810004945
—
VA
Enumeration date
11/01/2006
Last updated
11/29/2023
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