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

MR. CHARLES W HEATHCO III, PHYSICAL THERAPIST

Active Sole Proprietor

MR. CHARLES W HEATHCO III, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in MISSION VIEJO, California. NPI 1316404460 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MISSION VIEJO, CA

Registration Details

NPI Number: 1316404460
Provider Type: Individual
Gender: Male
NPI Issued: Feb 25, 2019 (7.281659708695 yrs)
Last Updated: Feb 25, 2019
License: PT7601 (CA)
Sole Proprietor: Yes

Practice Information

Address: 28801 HEDGEROW

MISSION VIEJO, CA, 926921023
Browse CA providers · Browse ZIP 92692
Phone: 9497357449
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MISSION VIEJO, CA

Name	Credential	NPI
MR. CHARLES JOSEPH FEHRENBACH	P.T., A.T., C.	1538154273
MR. JEFFREY S COHEN	M.P.T.	1710957576
MR. JOHN WILLIAM SANTOS	P.T.	1457316267
LINDA L. WEST	PT, CHT	1669422051
TIMOTHY LEE KLEIN-MOHR	PTA	1437197548
MRS. LAURIE LAYTON BOULWARE	PT, DPT, CSCS	1093753741

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.