Individual
MR. CHARLES GYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
426 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
(310) 419-7600
(310) 419-7667
Mailing address
3016 W 78TH PL, INGLEWOOD, CA 90305-1030
(310) 752-0380
(310) 419-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007240
CA
2251H1200X
Hand Physical Therapist
007240
CA
2251S0007X
Sports Physical Therapist
007240
CA
2251X0800X
Orthopedic Physical Therapist
007240
CA
Other
Enumeration date
11/10/2006
Last updated
10/06/2022
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