Provider Demographics
NPI:1992033401
Name:STERNKIND-DEL TORO, CHARLOTTE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:
Last Name:STERNKIND-DEL TORO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7109A DAN JEAN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5345
Mailing Address - Country:US
Mailing Address - Phone:512-497-8276
Mailing Address - Fax:
Practice Address - Street 1:205 WILD BASIN RD
Practice Address - Street 2:STE 2B
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-3341
Practice Address - Country:US
Practice Address - Phone:512-497-8276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT031365172M00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172M00000XOther Service ProvidersMechanotherapist