Individual
JOSEFINA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1701 TOURNAMENT TRAIL DR, LAREDO, TX 78041
(956) 727-3422
Mailing address
10732 PATRON LOOP, LAREDO, TX 78045-6526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111796
TX
225XG0600X
Gerontology Occupational Therapist
111796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714362-01
—
TX
Enumeration date
10/05/2010
Last updated
02/15/2023
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