Charles Wooten

NPI #1700321064 in Elmore, Ohio

Provider Information

NPI Number
1700321064
Entity Type
Individual
Name
Charles Wooten
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Dec 22, 2016
Last Updated
Dec 22, 2016

Practice Location

Address
4025 COUNTY ROAD 92
City
Elmore
State
Ohio
ZIP Code
43416-9601
Phone
(419) 410-6499

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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