Individual
DR. CHARLESON PRINCE GODIO AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CMT, CSCS
Contact information
Practice address
6000 GARDEN GROVE BLVD, WESTMINSTER, CA 92683-1976
(562) 270-1605
Mailing address
6000 GARDEN GROVE BLVD APT 238, WESTMINSTER, CA 92683-1955
(626) 756-5036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
79389
CA
Other
Enumeration date
05/31/2022
Last updated
09/07/2022
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