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Individual

CHARLES EDWARD CLAY II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T

Contact information

Practice address
2386 E DEL MAR BLVD, #104, PASADENA, CA 91107-4720
(626) 806-7513
(626) 795-0706
Mailing address
2386 E DEL MAR BLVD, #104, PASADENA, CA 91107-4720
(626) 806-7513
(626) 795-0706

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 25488
CA

Other

Enumeration date
01/22/2009
Last updated
01/22/2009
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