Individual
CHARLES A OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, MPT
Contact information
Practice address
930 PROTON RD, SUITE 104, SAN ANTONIO, TX 78258-4231
(210) 545-1810
(210) 545-1811
Mailing address
930 PROTON RD, SUITE 104, SAN ANTONIO, TX 78258-4231
(210) 545-1810
(210) 545-1811
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
11109
TX
225100000X
Physical Therapist
1125649
TX
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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