Provider Demographics
NPI:1528284429
Name:CHARNESS, ANN L (BSC, MS PT)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:L
Last Name:CHARNESS
Suffix:
Gender:F
Credentials:BSC, MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3622 85TH ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77554-9254
Mailing Address - Country:US
Mailing Address - Phone:409-974-4161
Mailing Address - Fax:409-744-2253
Practice Address - Street 1:3622 85TH ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77554-9254
Practice Address - Country:US
Practice Address - Phone:409-974-4161
Practice Address - Fax:409-744-2253
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116-5602251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics