Charminade Mccoy, PTA
NPI #1619330081 in Crestline, California
Provider Information
- NPI Number
- 1619330081
- Entity Type
- Individual
- Name
- Charminade Mccoy, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 1, 2016
- Last Updated
- Apr 1, 2016
Practice Location
- Address
- 1060 PLAYGROUND RD
- City
- Crestline
- State
- California
- ZIP Code
- 92325
- Phone
- (573) 330-5261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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