Doctor Name: | MRS. CHARLEEN AMANDA STUBBINGTON |
NPI Number: | 1285780783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT22234 |
Business Practice Address: | 4820 Newberry Road Gainesville, FL - 32607 |
Business Phone Number: | 3523732116 |
Business Fax Number: | 3523731507 |
Mailing Address: | 1631 Sw 76th Terr, GAINESVILLE |
State: | FL |
Postal Code: | 30607 |
Phone Number: | 3523312162 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT22234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |