Individual
MR. CHARLES EDGAR CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
5421 KROEMER RD, FORT WAYNE, IN 46818-9327
(260) 497-0629
Mailing address
5421 KROEMER RD, FORT WAYNE, IN 46818-9327
(260) 497-0629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900595
IN
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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