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Charles Story, PTA
NPI 1467701250 · on the registry since 2012 · sole proprietor
Practice
- Address
- 191 E Columbia # 25
Magnolia, AR 71753 - Phone
- (870) 234-3996
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas