Individual
CHARLES C BOEYINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 E VISTA BONITA DR, SCOTTSDALE, AZ 85255-4251
(480) 502-4324
Mailing address
7144 W BRONCO TRL, PEORIA, AZ 85383-7200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6931
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6931
LICENSE #
AZ
Enumeration date
08/23/2006
Last updated
12/13/2007
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