Individual
CHARLES A PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 NE LOOP 286, PARIS, TX 75460-2219
(903) 517-9306
Mailing address
1675 NE LOOP 286, PARIS, TX 75460-2219
(903) 782-9922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2109255
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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