Individual
MR. CHARLES JOSEPH MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3666 KEARNY VILLA RD, 200, SAN DIEGO, CA 92123-1951
(858) 505-5400
(858) 505-5459
Mailing address
3666 KEARNY VILLA RD, 200, SAN DIEGO, CA 92123-1951
(858) 505-5400
(858) 505-5459
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT8081
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT8081
CA
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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