Individual
CATHERINE IVY CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3490 GRAN AVE NE, PALM BAY, FL 32905-6044
(321) 754-7308
Mailing address
601 KINGSWOOD AVE, MELBOURNE, FL 32935-4214
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19155
FL
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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