Spina, Charles T

Spina, Charles T is an individual health care provider with primary practice located at 7005 N Maple Ave Suite 104, Fresno CA 93720-8009. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Spina, Charles T can be contacted via phone (559) 325-3503.

Contact Information

Primary practice address
7005 N Maple Ave Suite 104 Fresno CA 93720-8009
Phone: (559) 325-3503
Fax: (559) 325-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT15431 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 2251E1200X

Profile Details

NPI number 1386858959
LBN Legal business name Spina, Charles T
Credentials PT,JSCC,CEAS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Apr 2nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386858959 NPPES
California Other CK761U MEDICARE PTAN

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