Individual
MR. CHARLES T GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
42211 N 41ST DR, SUITE 169, ANTHEM, AZ 85086-3810
(623) 742-7338
(623) 742-7339
Mailing address
42211 N 41ST DR, SUITE 169, ANTHEM, AZ 85086-3810
(623) 742-7338
(623) 742-7339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5179
AZ
Other
Enumeration date
08/14/2006
Last updated
07/25/2007
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