Individual
CHARLES BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 BLADES FARM RD STE 201, DENTON, MD 21629-3489
(410) 479-3300
Mailing address
4004 MAIN ST, GRASONVILLE, MD 21638-1252
(410) 924-0623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27742
MD
Other
Enumeration date
11/07/2019
Last updated
01/28/2020
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