Individual
CHARLES CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 15810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00195082
RAILROAD MEDICARE
FL
Enumeration date
10/19/2005
Last updated
12/13/2010
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