Individual
CARLY RUNKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 MORTON PLANT ST, SUITE 101, CLEARWATER, FL 33756-3398
(727) 461-8464
Mailing address
430 MORTON PLANT ST, SUITE 101, CLEARWATER, FL 33756-3398
(727) 461-8464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21840
FL
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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