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Individual

MR. CHARLES DAVID SIMONS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.O.T., OTR/L

Contact information

Practice address
901 45TH ST, WEST PALM BEACH, FL 33407-2413
(561) 844-6300
Mailing address
903 LAKE SHORE DR APT 211, LAKE PARK, FL 33403-2805

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16101
FL

Other

Enumeration date
02/27/2014
Last updated
02/27/2014
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