Individual
MRS. CHARLEEN AMANDA STUBBINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4820 NEWBERRY ROAD, GAINESVILLE, FL 32607
(352) 373-2116
(352) 373-1507
Mailing address
1631 SW 76TH TERR, GAINESVILLE, FL 30607
(352) 331-2162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22234
FL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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