Individual provider · Type 1 NPI

Kethlie Fabien Charles

Developmental Disabilities Clinic/Center · Greenacres, FL

NPI number 1265018865 Active

Practice location

5700 Lake Worth Rd Ste 106
Greenacres, FL 33463-3213

Fax (561) 439-3993

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

4 other providers at this address

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About NPI 1265018865

Kethlie Fabien Charles's National Provider Identifier is 1265018865, issued on Mar 23, 2021. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Greenacres, FL. The record was last updated on Mar 23, 2021.