Doctor Name: | MR. CHARLES HENRY GREENE |
NPI Number: | 1073554986 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT, ATC |
License Number: | 104902 |
Business Practice Address: | 203 S Polk St Albany, MO - 644021618 |
Business Phone Number: | 6607265762 |
Business Fax Number: | 6607265764 |
Mailing Address: | 203 S Polk St, ALBANY |
State: | MO |
Postal Code: | 644021618 |
Phone Number: | 6607265762 |
Fax Number: | 6607265764 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 104902 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |