MEDICARE: CHARLENE C DENOVA 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	PT10693	CA

General Provider Information

NPI Number	:	1205951456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE C DENOVA P.T.

Provider Business Mailing Address
First Line	:	720 COOL SPRINGS BLVD
Second Line	:	SUITE 300
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2626
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:	615-778-9114

Provider Business Practice Location Address
First Line	:	6033 W CENTURY BLVD
Second Line	:	SUITE 200 AND 201
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6410
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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Directions to “ CHARLENE C DENOVA P.T.” Practice Location

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