Individual
CHARLOTTE BLACKERBY MESSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6913 RUNNING DEER CT, GRANBURY, TX 76049-2413
(817) 910-9634
Mailing address
PO BOX 5394, GRANBURY, TX 76049-0394
(817) 910-9634
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1117893
TX
2251X0800X
Orthopedic Physical Therapist
3307
NM
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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