Individual
MR. CHARLES GRANT WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
129 ROBINWOOD DR NW, FORT WALTON BEACH, FL 32548-4363
(850) 313-4103
Mailing address
129 ROBINWOOD DR NW, FORT WALTON BEACH, FL 32548-4363
(850) 313-4103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26789
FL
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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