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Individual

CHARLES LWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1176 N JASMINE AVE, TARPON SPRINGS, FL 34689-5235
(727) 743-1953
Mailing address
2919 WYCOMBE WAY, PALM HARBOR, FL 34685-1300

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
29519
FL

Other

Enumeration date
08/09/2024
Last updated
08/09/2024
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