Individual
LORRAINE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
456 NORTH ST, WHITE PLAINS, NY 10605-3003
(914) 946-4781
(914) 946-0117
Mailing address
1186 KING ST, RYE BROOK, NY 10573-1069
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
009132
NY
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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