Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dan Charboneau, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1770526667

Dan Charboneau, PHYSICALTHERAPIST is a Physical Therapist in Ada, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006

Practice location Address checks out

511 N Monte Vista St
Ada, OK 74820-4611
Phone: (580) 436-3633
Fax: (580) 436-2977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2218 (OK)

Record details

NPI number1770526667
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESMay 28, 2008
Mailing address511 N Monte Vista St, Ada, OK 74820-4611

Other providers in Ada