Individual provider · Type 1 NPI
Charlene Charthern, COSMOTOLOGIST
Prosthetic/Orthotic Supplier · Tarzana, CA
Practice location
19529 Ventura Blvd
Tarzana, CA 91356-2957
Fax (818) 757-1216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1619448099
Charlene Charthern, COSMOTOLOGIST's National Provider Identifier is 1619448099, issued on Dec 11, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tarzana, CA. The record was last updated on Dec 11, 2018.