Individual
DANIA K CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
854 SE FESTIVO CT, PORT SAINT LUCIE, FL 34983-2026
(772) 626-9603
Mailing address
854 SE FESTIVO CT, PORT SAINT LUCIE, FL 34983-2026
(772) 626-9603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25839
FL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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