Charles, Jodi

Charles, Jodi is an individual health care provider with primary practice located at 3240 W Silver Lake Rd , Fenton MI 48430-1374. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Charles, Jodi can be contacted via phone (810) 714-4616.

Contact Information

Primary practice address
3240 W Silver Lake Rd Fenton MI 48430-1374
Phone: (810) 714-4616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502004673 Michigan

Profile Details

NPI number 1073989372
LBN Legal business name Charles, Jodi
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2015
Last updated Aug 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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