Individual
MR. CHARLES SCOTT FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED PHYSICAL
Contact information
Practice address
6560 GREENBACK LANE, # 100, CITRUS HEIGHTS, CA 95621
(916) 723-3372
(916) 722-5098
Mailing address
6560 GREENBACK LANE, # 100, CITRUS HEIGHTS, CA 95621
(916) 723-3372
(916) 722-5098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9856
CA
Other
Enumeration date
11/02/2006
Last updated
02/27/2008
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