MR. Charles Stacy Witcher, LPTA

NPI #1477703478 in Walnut Ridge, Arkansas

Provider Information

NPI Number: 1477703478
Entity Type: Individual
Name: MR. Charles Stacy Witcher, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Sep 25, 2008
Last Updated: Sep 25, 2008

Practice Location

Address: 417 SW THIRD ST
City: Walnut Ridge
State: Arkansas
ZIP Code: 72476-2310
Phone: (870) 886-2443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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