Provider Demographics
NPI:1104559152
Name:GARMA, CHARLOTTE (DPT)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:GARMA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:GANUCHEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:321 VETERANS MEMORIAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3060
Mailing Address - Country:US
Mailing Address - Phone:504-834-9259
Mailing Address - Fax:504-834-9281
Practice Address - Street 1:1201 OCHSNER BLVD STE A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8147
Practice Address - Country:US
Practice Address - Phone:985-801-7145
Practice Address - Fax:985-801-7146
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist