Individual
MR. CHARLES JAMES REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, PT
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD COLLEGE, SPRINGFIELD, MA 01109-3707
(413) 748-3231
(413) 748-3371
Mailing address
263 ALDEN ST, SPRINGFIELD COLLEGE, SPRINGFIELD, MA 01109-3707
(413) 748-3231
(413) 748-3371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40
ATHLETIC TRAINER LICENSE
MA
01
—
4359
PHYSICAL THERAPY LICENSE
MA
Enumeration date
07/01/2006
Last updated
07/08/2007
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