Individual
CHARLES MANOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
1305 SE ARMOUR RD STE 110, BEND, OR 97702-3467
(541) 389-4401
Mailing address
1305 SE ARMOUR RD STE 110, BEND, OR 97702-3467
(541) 389-4401
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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