Individual
CHARLES VINCENT TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 S 9TH AVE, PIGGOTT, AR 72454-2501
(870) 598-2291
Mailing address
4704 JOHN CONES PL, JONESBORO, AR 72404-8384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT730
AR
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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