Individual
MR. CHARLES LAWSON VICKERY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1014 11TH ST APT 204, BELLINGHAM, WA 98225-6645
(360) 927-9611
Mailing address
1014 11TH ST APT 204, BELLINGHAM, WA 98225-6645
(360) 927-9611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60132807
WA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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