Individual
LINDA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 BATH AVE, LONG BRANCH, NJ 07740-6221
(732) 229-4300
Mailing address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
(888) 830-1050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09103700
NJ
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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