Individual
MR. BRAD G CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1026 ALBEE FARM RD, VENICE, FL 34285-6213
(603) 769-1818
Mailing address
2162 CALCUTTA RD, PUNTA GORDA, FL 33983-8632
(603) 769-1818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12224
FL
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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