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Individual

CHARLES EDWARD TEAGUE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4705 S APOPKA VINELAND RD STE 100, ORLANDO, FL 32819-3151
(407) 905-9300
Mailing address
13506 SUMMERPORT VILLAGE PKWY STE 410, WINDERMERE, FL 34786-7366
(407) 905-9300

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
37367
FL

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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