Individual
CHAD RANNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4161 TAMIAMI TRL STE 704, PORT CHARLOTTE, FL 33952-9283
(941) 625-1110
(941) 625-0552
Mailing address
4161 TAMIAMI TRL STE 704, PORT CHARLOTTE, FL 33952-9283
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PTA27606
FL
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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