Individual
CHANDRA T CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
26025 LAHSER RD, SUITE 100, SOUTHFIELD, MI 48033-2606
(248) 663-1906
(248) 663-1903
Mailing address
33900 HARPER AVE, SUITE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 416-9100
(586) 416-9103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014384
MI
Other
Enumeration date
01/11/2010
Last updated
11/20/2012
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