Individual
CHARLOTTE GIOVANNA ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
240 W SENECA ST, MANLIUS, NY 13104-3401
(315) 682-0325
Mailing address
703 GRANITE ST STE 3, BRAINTREE, MA 02184-5350
(781) 961-3370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
10/16/2024
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