Individual
CHARLES MANOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65876
OR
225100000X
Physical Therapist
PT61087301
WA
Other
Enumeration date
09/25/2020
Last updated
09/16/2025
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