Individual
ATHENA TULSHI CHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(424) 666-9109
Mailing address
2741 GIRALDA CT, BUENA VENTURA LAKES, FL 34743-6151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12406
FL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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