Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES EDWARD MACK JR., DPT
ActiveMR. CHARLES EDWARD MACK JR., DPT is a Physical Therapy Assistant healthcare provider located in LANSDOWNE, Virginia. NPI 1376068866 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LANSDOWNE, VA
Registration Details
- NPI Number
- 1376068866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2017 (8.9867155125677 yrs)
- Last Updated
- Aug 7, 2017
- License
-
2305211409 (VA)
Practice Information
- Address
-
19490 SANDRIDGE WAY STE 170LANSDOWNE, VA, 201763467Browse VA providers · Browse ZIP 20176
- Phone
- 7037234088
- Fax
- 7037234088
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LANSDOWNE, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARSHA TRACELYN EDWARDS COLON | MSPT | 1922289768 |
| LAURA M FAWCETT | DPT | 1376771089 |
| MR. VINOD MATHEW | — | 1407165004 |
| ELLIOT J SMITH | DPT | 1760766067 |
| DR. MEGAN BUREAU | P.T. | 1073994620 |
| JEFFREY CHASE FARNSWORTH | DPT | 1902281082 |
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.