MR. Charles Ashley Eidson, PT, MS

NPI #1528196706 in Pecos, New Mexico

Provider Information

NPI Number: 1528196706
Entity Type: Individual
Name: MR. Charles Ashley Eidson, PT, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, MS
Enumeration Date: Mar 1, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: PECOS SCHOOLS HWY 63
City: Pecos
State: New Mexico
ZIP Code: 87552-0368
Phone: (505) 757-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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