Individual provider · Type 1 NPI

Charles Edward Teague Iii, PT, DPT

Pediatric Physical Therapist · Orlando, FL

NPI number 1033883103 Active

Practice location

4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151

Mailing address

13506 Summerport Village Pkwy Ste 410
Windermere, FL 34786-7366

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X37367 (FL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1033883103

Charles Edward Teague Iii, PT, DPT's National Provider Identifier is 1033883103, issued on Aug 3, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Orlando, FL. The record was last updated on Aug 3, 2021.