Individual
CHARLENE MARVIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
1860 EL CAMINO REAL STE 201, BURLINGAME, CA 94010-3111
(650) 259-8009
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1373660
TX
225100000X
Physical Therapist
Primary
307960
CA
Other
Enumeration date
05/08/2024
Last updated
07/16/2025
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