Individual
CHARLES V WABBERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2851 MATLOCK RD, #442, MANSFIELD, TX 76063-5037
(817) 473-6246
(817) 473-2014
Mailing address
2851 MATLOCK RD, #442, MANSFIELD, TX 76063-5037
(817) 473-6246
(817) 473-2014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1157230
TX
2251S0007X
Sports Physical Therapist
—
TX
Other
Enumeration date
01/17/2007
Last updated
11/16/2007
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