MEDICARE: DAVID F CHARLET P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	20035	CA

General Provider Information

NPI Number	:	1043323868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID F CHARLET P.T.

Provider Business Mailing Address
First Line	:	3339 TROY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-1433
Country	:	US
Telephone Number	:	818-635-3965
Fax Number	:	323-512-5195

Provider Business Practice Location Address
First Line	:	3339 TROY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-1433
Country	:	US
Telephone Number	:	818-635-3965
Fax Number	:	323-512-5195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	02/22/2010

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Directions to “ DAVID F CHARLET P.T.” Practice Location

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