Individual
CHARLES T. DAMITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 455-3122
Mailing address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 455-3122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001286A
IN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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