Individual
CHARLOTTE HEIDELBERG STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1921 ORTEGA ST, NAVARRE, FL 32566-4111
(850) 936-8916
(850) 936-8936
Mailing address
2065 AIRPORT BLVD, SUITE 300, PENSACOLA, FL 32504-5931
(850) 477-6966
(850) 477-0267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26695
FL
225100000X
Physical Therapist
PT4387
MS
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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