Individual
MR. CHARLES WILLIAM GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1988 E AVERY DR, PALM SPRINGS, CA 92264-8607
(760) 320-5843
Mailing address
1988 E AVERY DR, PALM SPRINGS, CA 92264-8607
(760) 320-5843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10935
CA
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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