Most Relevant Information
Provider Data
| NPI Number: | 1003028515 |
| Provider Name: | CHARLENE NORQUIST MPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | PT 25785 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/15/2020 |
Provider Practice Location
1350 41ST AVE STE 100
CAPITOLA
CA
950103934
Practice Location Phone/Fax
| Phone: | 8317062085 |
| Fax: |
Provider Mailing Location
1350 41ST AVE
STE 100
CAPITOLA
CA
950103934
Provider Mailing Phone/Fax
| Phone: | 8317062085 |
| Fax: |