MEDICARE: MRS. CHARLOTTE JUNE BARGAR SINGLETARY PT, DPT

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	PT 22968	FL

General Provider Information

NPI Number	:	1629274071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARLOTTE JUNE BARGAR SINGLETARY PT, DPT

Provider Business Mailing Address
First Line	:	336 E COLLEGE AVE STE 301
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-1560
Country	:	US
Telephone Number	:	844-493-6249
Fax Number	:

Provider Business Practice Location Address
First Line	:	4652 KARSTEN CREEK DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-2663
Country	:	US
Telephone Number	:	386-984-6232
Fax Number	:

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

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/21/2023

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