Individual
MR. CHARLES T SILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(619) 798-3135
(618) 798-3505
Mailing address
729 JACKSON LN, GODFREY, IL 62035-2590
(618) 798-3135
(618) 798-3505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002307
IL
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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