Charles Wayne Robertson, PTA
NPI #1174772495 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1174772495
- Entity Type
- Individual
- Name
- Charles Wayne Robertson, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 10, 2008
- Last Updated
- Sep 10, 2008
Practice Location
- Address
- 2725 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2346
- Phone
- (573) 778-9348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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