Individual
CHARLA S WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 58TH ST UNIT A, WEST PALM BEACH, FL 33407-2522
(561) 853-4062
Mailing address
612 58TH ST UNIT A, WEST PALM BEACH, FL 33407-2522
(561) 853-4062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12747
FL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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