Individual
CHANNING THARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 CORNERSTONE CT APT 410, BEAUMONT, TX 77706-3963
(903) 235-3422
Mailing address
1605 CORNERSTONE CT APT 410, BEAUMONT, TX 77706-3963
(903) 235-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120592
TX
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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