Doctor Name: | CHARLOTTE HEIDELBERG STARK |
NPI Number: | 1063791150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT4387 |
Business Practice Address: | 1921 Ortega St Navarre, FL - 325664111 |
Business Phone Number: | 8509368916 |
Business Fax Number: | 8509368936 |
Mailing Address: | 2065 Airport Blvd, Suite 300 PENSACOLA |
State: | FL |
Postal Code: | 325045931 |
Phone Number: | 8504776966 |
Fax Number: | 8504770267 |
NPI Enumeration Date: | 08/08/2011 |
NPI Last Update Date: | 08/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT4387 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |