Individual
MR. CHARLES ALLEN PATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31964 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3730
(727) 786-2503
(727) 786-7949
Mailing address
31964 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3730
(727) 786-2503
(727) 786-7949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25743
FL
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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