Individual
CHARLES CHRISTOPHER HUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2242 SE MCMASTER ST, PORT SAINT LUCIE, FL 34952-6844
(561) 494-4538
Mailing address
2242 SE MCMASTER ST, PORT SAINT LUCIE, FL 34952-6844
(561) 494-4538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28406
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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