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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLESTON GAVIN OATES, PTA

Active Sole Proprietor

MR. CHARLESTON GAVIN OATES, PTA is a Occupational Therapist healthcare provider located in COVE, Texas. NPI 1306451851 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COVE, TX

Registration Details

NPI Number
1306451851
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2020 (5.8807217066082 yrs)
Last Updated
Sep 11, 2020
License
2141867 (TX)
Sole Proprietor
Yes

Practice Information

Address
5719 RAINBOW RD
COVE, TX, 775235071
Browse TX providers · Browse ZIP 77523
Phone
5013334040
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.