Individual
MR. CHARLES S JACINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
141 COHEN ST, BECKLEY, WV 25801
(304) 255-2267
(304) 255-5659
Mailing address
141 COHEN ST, BECKLEY, WV 25801
(304) 255-2267
(304) 255-5659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000786
WV
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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