Charles Stewart Bacon, DPT

NPI #1417203233 in Augusta, Kansas

Provider Information

NPI Number
1417203233
Entity Type
Individual
Name
Charles Stewart Bacon, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jul 30, 2012
Last Updated
Jul 30, 2012

Practice Location

Address
1503 WASHINGTON LN
State
Kansas
ZIP Code
67010-1638
Phone
(316) 775-0700

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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