Doctor Name: | CHARLES H. BROCKMANN |
NPI Number: | 1134313679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 363 |
Business Practice Address: | 1903 S Hawthorne Rd Dba Edwin H. Martinat Outpatient Rehabilitation Center Winston Salem, NC - 271033916 |
Business Phone Number: | 3367184820 |
Business Fax Number: | |
Mailing Address: | 2000 Frontis Plaza Blvd Ste 200, Novant Medical Group WINSTON SALEM |
State: | NC |
Postal Code: | 271035616 |
Phone Number: | 3362772435 |
Fax Number: | 3362779275 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |