Individual
CHARLES DAVID BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
404 ESTERO AVE, MORRO BAY, CA 93442
(443) 523-5235
Mailing address
404 ESTERO AVE, MORRO BAY, CA 93442
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
18273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18273
PHYSICAL THERAPY
MD
Enumeration date
04/24/2019
Last updated
04/24/2019
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