Individual
MR. CHARLES LEWIS PATTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
203 N ST SW, APT 420, WASHINGTON, DC 20024-3525
(202) 412-7444
Mailing address
203 N ST SW, APT 420, WASHINGTON, DC 20024-3525
(202) 412-7444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019010788
VA
225700000X
Massage Therapist
Primary
MT1511
DC
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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