Provider Demographics
NPI:1740438589
Name:FERRINGTON, CHARLOTTE TERESA (PTA)
Entity type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:TERESA
Last Name:FERRINGTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16179 JACOB RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-9027
Mailing Address - Country:US
Mailing Address - Phone:810-265-2314
Mailing Address - Fax:
Practice Address - Street 1:16179 JACOB RD
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-9027
Practice Address - Country:US
Practice Address - Phone:810-265-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist