Individual
CHARLES PIAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
1300 SAINT DOMINIC, ABBEVILLE, LA 70510-2191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115093
TX
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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