Individual
MR. KARL B. BRADLEY CHORLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
24131 BUCKINGHAM WAY, PORT CHARLOTTE, FL 33980-5516
(941) 979-9762
Mailing address
24131 BUCKINGHAM WAY, PORT CHARLOTTE, FL 33980-5516
(941) 979-9762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11887
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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