Individual
CHARLES DEWAYNE SANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1705 JESS PARRISH CT, TITUSVILLE, FL 32796-2158
(321) 269-5720
(321) 383-9514
Mailing address
1669 PALM RIDGE RD, MELBOURNE, FL 32935-4301
(321) 223-6278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31242
FL
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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