Individual
CHARLES CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 LINCOLN AVE, APT 18, GLENDALE, CA 91205-4309
(714) 334-6954
Mailing address
411 LINCOLN AVE, APT 18, GLENDALE, CA 91205-4309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35437
CA
Other
Enumeration date
08/09/2010
Last updated
11/18/2021
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