Individual
CHARLES HART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
621 SCIENCE DR, MADISON, WI 53711-1074
(608) 265-5699
Mailing address
4514 SENTINEL PASS, FITCHBURG, WI 53711-4727
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
09/11/2025
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