Individual
CHARLOTTE JEAN REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1796
CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
07/05/2010
Last updated
07/05/2010
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