Charles Anthony Inniss Jr., DPT
Physical Therapist in Boston, MA. Individual provider (NPI-1).
NPI number1790925527
StatusActive
Last updated in NPPESMar 6, 2009
Details
- NPI
- 1790925527
- Entity type
- Individual (NPI-1)
- Name
- Charles Anthony Inniss Jr.
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2009
- Last updated
- Mar 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 15232 | MA | Yes |
Practice location
654 Beacon StBoston, MA 02215-2099
Phone 617-536-1161
Mailing address
654 Beacon StBoston, MA 02215-2099
Phone 617-536-1161
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