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MR. CHARLIE DALE TORTONA RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3055 BARDIN RD, #200, GRAND PRAIRIE, TX 75052-3816
(672) 522-2200
Mailing address
1551 N STATE HIGHWAY 161, APT 1811, GRAND PRAIRIE, TX 75050-7077
(310) 259-1878

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121409
TX

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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