Individual
CHARLES CHRISTIAN CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1600 MURDOCH AVE, SUITE 200, PARKERSBURG, WV 26101-3248
(304) 916-1854
(304) 916-1855
Mailing address
1600 MURDOCH AVE, SUITE 200, PARKERSBURG, WV 26101-3248
(304) 916-1854
(304) 916-1855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2804
WV
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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