Provider Demographics
NPI:1538145164
Name:GARFINKLE, CHARLES DAVID (MSPT)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:DAVID
Last Name:GARFINKLE
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W KENILWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2120
Mailing Address - Country:US
Mailing Address - Phone:610-356-0597
Mailing Address - Fax:
Practice Address - Street 1:200 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4512
Practice Address - Country:US
Practice Address - Phone:610-436-8620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000074225100000X
PAPT013504L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA040027UCTMedicare ID - Type Unspecified