Most Relevant Information
Provider Data
| NPI Number: | 1003308123 |
| Provider Name: | CARMELLE CHUA SY |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT32797 |
Most Important Dates
| Enumeration Date: | 06/04/2018 |
| Last Updated: | 06/04/2018 |
Provider Practice Location
1032 VEGA AVE NW
PORT CHARLOTTE
FL
339482071
Practice Location Phone/Fax
| Phone: | 9415859114 |
| Fax: |
Provider Mailing Location
1032 VEGA AVE NW
PORT CHARLOTTE
FL
339482071
Provider Mailing Phone/Fax
| Phone: | 9415859114 |
| Fax: |