Individual
CHARLES STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 E. OAK AVE, TAMPA, FL 33602
(813) 951-0462
Mailing address
PO BOX 76063, TAMPA, FL 33675
(813) 951-0462
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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