Individual
CHARO REVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CLEVELAND ST STE 525, CLEARWATER, FL 33755-4179
(800) 211-0920
Mailing address
601 CLEVELAND ST STE 525, CLEARWATER, FL 33755-4179
(800) 211-0920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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