Individual
MR. CHARLES WILLIAM O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R. L.M.P.
Contact information
Practice address
9840 DEKOVEN DR. SW, LAKEWOOD, WA 98499-1825
(253) 886-0746
Mailing address
9840 DEKOVEN DR. SW, LAKEWOOD, WA 98499-1825
(253) 886-0746
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60466209
WA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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