Individual
CHARLENE EVELYN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8491 W GRAND RIVER AVE STE 600, BRIGHTON, MI 48116-4359
(810) 225-1187
(810) 225-1284
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
04/06/2018
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