MR. CHARLES MACK JR., DPT

Physical Therapist

Active Individual
NPI: 1376068866

Practice Address

19490 SANDRIDGE WAY STE 170
Lansdowne, VA 20176

Phone: (703) 723-4088

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 2305211409 (VA)

Frequently Asked Questions

NPI 1376068866 is the National Provider Identifier for MR. CHARLES MACK JR., DPT, a Physical Therapist provider located in Lansdowne, VA. This NPI was enumerated on August 7, 2017.
MR. CHARLES MACK JR., DPT practices at 19490 SANDRIDGE WAY STE 170, Lansdowne, VA 20176.

Quick Facts

NPI
1376068866
Type
Individual
Enumerated
Aug 7, 2017
Last Updated
Aug 7, 2017

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