Provider Demographics
NPI:1770784639
Name:JAMES, CHARLOTTE ELAINE (PTA)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:ELAINE
Last Name:JAMES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:DR
Other - First Name:CHARLOTTE
Other - Middle Name:ELAINE
Other - Last Name:BELFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:520 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53536-9758
Mailing Address - Country:US
Mailing Address - Phone:608-882-0770
Mailing Address - Fax:
Practice Address - Street 1:707 S MILLS ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1849
Practice Address - Country:US
Practice Address - Phone:608-258-6645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI39-019225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant