Doctor Name: | ADAM JOE MANLEY CHARCHAN |
NPI Number: | 1912279605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 5501015765 |
Business Practice Address: | 1103 S Cedar St Ste 300 Mason, MI - 488542080 |
Business Phone Number: | 5172447787 |
Business Fax Number: | 5172440578 |
Mailing Address: | 1103 S Cedar St Ste 300, MASON |
State: | MI |
Postal Code: | 488542080 |
Phone Number: | 5172447787 |
Fax Number: | 5172440578 |
NPI Enumeration Date: | 01/27/2012 |
NPI Last Update Date: | 01/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501015765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |