Individual
MR. CHARLES CLIFTON PLUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3201 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Mailing address
1120 ROLLING HILLS DR, LONGVIEW, TX 75604-2242
(903) 736-1877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2036978
TX
Other
Enumeration date
01/13/2016
Last updated
01/20/2016
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