Individual
CHARLES A MUTSCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1600 CRAIN HWY S, 302, GLEN BURNIE, MD 21061-5577
(410) 768-1213
Mailing address
501 FAIRMOUNT AVE, SUITE 302, TOWSON, MD 21286-5457
(410) 927-8768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091166600
—
MD
01
—
122047
JOHNS HOPKINS
MD
01
—
1366307
AMERIGROUP
—
01
—
1679630073
FACILITY NPI NUMBER
MD
01
—
283M380F
PTAN, MEDICARE
MD
01
—
396920YQ1R
MEDICARE PTAN
MD
01
—
396920YT8
MEDICARE PTAN
MD
01
—
426681ZBEW
MEDICARE PTAN
MD
01
—
51200024
CAREFIRST
MD
01
—
5398714
AETNA
—
01
—
F7170001
CAREFIRST
MD
01
—
F8710105
CAREFIRST
MD
01
—
P650023224
MEDICARE RR
MD
Enumeration date
06/20/2006
Last updated
10/07/2016
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