Individual
ALFRED CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 ORANGE PL, WAUCHULA, FL 33873-3417
(863) 773-3231
Mailing address
16352 NW 17TH ST, PEMBROKE PINES, FL 33028-1722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16428
FL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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