Individual
MR. CHARLES W HEATHCO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
28801 HEDGEROW, MISSION VIEJO, CA 92692-1023
(949) 735-7449
Mailing address
28801 HEDGEROW, MISSION VIEJO, CA 92692-1023
(949) 735-7449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7601
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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