Doctor Name: | MRS. THERESA CHAMPATSINGH |
NPI Number: | 1013030683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | The Bra Boutique 999 N University Dr Coral Springs, FL - 330717048 |
Business Phone Number: | 9547535288 |
Business Fax Number: | 9547535289 |
Mailing Address: | The Bra Boutique, 999 N University Dr CORAL SPRINGS |
State: | FL |
Postal Code: | 330717048 |
Phone Number: | 9547535288 |
Fax Number: | 9547535289 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |