Individual
MR. CHARLES DONALD PAIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
141 E PENNSYLVANIA AVE, DELAND, FL 32724-3510
(386) 822-5649
(386) 822-7809
Mailing address
141 E PENNSYLVANIA AVE, DELAND, FL 32724-3510
(386) 822-5649
(386) 822-7809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22668
FL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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