Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charles W Heathco III, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1316404460

Mr. Charles W Heathco III, PHYSICALTHERAPIST is a Physical Therapist in Mission Viejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

28801 Hedgerow
Mission Viejo, CA 92692-1023
Phone: (949) 735-7449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7601 (CA)

Record details

NPI number1316404460
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019

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