Individual
CHARLES ALDEN BARSTOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT,OCS, COMT, CSCS
Contact information
Practice address
271 FIVE CITIES DR, PISMO BEACH, CA 93449-3009
(805) 473-7499
(805) 473-7494
Mailing address
PO BOX 2638, PISMO BEACH, CA 93448-2638
(805) 473-7499
(805) 473-7494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22679
CA
Other
Enumeration date
01/16/2007
Last updated
05/31/2016
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