Individual
MR. CHARLES WRIGHT NORTHCUTT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1501 HOLIDAY DR., SULPHUR SPRINGS, TX 75482-4707
(903) 335-8727
(903) 335-8217
Mailing address
1716 RED OAK CIR., SULPHUR SPRINGS, TX 75482-4707
(903) 335-6649
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2152450
TX
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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