Individual
MR. CHARLES THISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 N ATLANTIC AVE, COCOA BEACH, FL 32931-2963
(321) 482-3970
Mailing address
236 N ATLANTIC AVE, COCOA BEACH, FL 32931-2963
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 44079
FL
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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