Individual
CHARLENE MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1297 US 27 N, LAKE PLACID, FL 33852-7907
(863) 465-0568
Mailing address
2235 PAR RD, SEBRING, FL 33872-1217
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PTA18027
FL
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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