Charles V Wabbersen, P.T.

NPI #1689726176 in Mansfield, Texas

Provider Information

NPI Number: 1689726176
Entity Type: Individual
Name: Charles V Wabbersen, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jan 17, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 2851 MATLOCK RD
Address 2: #442
City: Mansfield
State: Texas
ZIP Code: 76063-5037
Phone: (817) 473-6246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Sports — Sports	2251S0007X

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