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Individual

DR. CHARLIE WEINGROFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
PSC BOX 20116, CAMP LEJEUNE, NC 28542
(910) 440-2760
Mailing address
136 HYDRANGEA LANE, HAMPSTEAD, NC 28443

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA08481
NJ
2255A2300X
Athletic Trainer
MT00803
NJ

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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