Individual
CHARLES HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
3806
WI
2255A2300X
Athletic Trainer
Primary
234
WI
Other
Enumeration date
09/17/2005
Last updated
07/13/2026
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