Charleston, Kristin
Charleston, Kristin is an individual health care provider with primary practice located at 414 S Wesley Ave , Mount Morris IL 61054-1428. 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. Charleston, Kristin can be contacted via phone (815) 734-4103.Contact Information
Primary practice address
414 S Wesley Ave
Mount Morris IL 61054-1428
Phone: (815) 734-4103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160.007379 | Illinois |
Profile Details
| NPI number | 1447898671 |
|---|---|
| LBN Legal business name | Charleston, Kristin |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2019 |
| Last updated | Dec 18th, 2019 - about 6 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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