Individual
MR. CHARLES EDWARD MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4989 SW 8TH CT, MARGATE, FL 33068-3119
(240) 997-3650
Mailing address
4989 SW 8TH CT, MARGATE, FL 33068-3119
(240) 997-3650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
20780
FL
225200000X
Physical Therapy Assistant
Primary
2306602030
VA
225200000X
Physical Therapy Assistant
A2358
MD
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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