Grogan, Charles Dietrich

Grogan, Charles Dietrich is an individual health care provider with primary practice located at 5922 Cattlemen Lane Suite 100, Sarasota FL 34232. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Grogan, Charles Dietrich can be contacted via phone (941) 378-8977.

Contact Information

Primary practice address
5922 Cattlemen Lane Suite 100 Sarasota FL 34232
Phone: (941) 378-8977
Fax: (941) 378-8967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA19756 Florida

Profile Details

NPI number 1285859843
LBN Legal business name Grogan, Charles Dietrich
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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