MR. Charles Edward Mack JR., DPT

NPI #1376068866 in Lansdowne, Virginia

Provider Information

NPI Number
1376068866
Entity Type
Individual
Name
MR. Charles Edward Mack JR., DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Aug 7, 2017
Last Updated
Aug 7, 2017

Practice Location

Address
19490 SANDRIDGE WAY STE 170
ZIP Code
20176-3467
Phone
(703) 723-4088

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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