Individual
MR. CHARLES DAVID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5810 DOWNEY AVE, LONG BEACH, CA 90805-4517
(562) 380-2178
Mailing address
16701 LYNN LN APT B, HUNTINGTON BEACH, CA 92649-3463
(678) 231-6011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10582
CA
Other
Enumeration date
11/04/2014
Last updated
04/06/2023
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