Individual
MR. CHARLES TRAVIS FILIPPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 W SYLVANIA AVE, SUITE 9, NEPTUNE, NJ 07753-6017
(732) 869-1818
Mailing address
25 ALLENHURST AVE, OCEANPORT, NJ 07757-1337
(732) 888-1310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00153500
NJ
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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