Individual
MS. CHARISSA DOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, LP
Contact information
Practice address
405 TIERRA VERDE LN, WINTER GARDEN, FL 34787-2691
(407) 988-6601
Mailing address
405 TIERRA VERDE LN, WINTER GARDEN, FL 34787-2691
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
PRO132
FL
225100000X
Physical Therapist
Primary
PT20082
FL
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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