Lauren Nicole Charboneau, PTA

Individual provider Physical Therapy Assistant · NPI 1144596529

Lauren Nicole Charboneau, PTA is a Physical Therapy Assistant in Jenison, Michigan. Licensed in Michigan and Texas. Registered with an NPI since 2012.

Licensed in: MI, TX
In the registry since: 2012
Specialties on file: 2

What do these letters mean?

PTA — Physical Therapist Assistant: Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6441 Orchid Dr
Jenison, MI 49428-9333
Phone: (616) 204-0521

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

Specialties & licences

Physical Therapy Assistant (primary)	Taxonomy 225200000X · Licence 5502002955 (MI)
Physical Therapy Assistant	Taxonomy 225200000X · Licence 2087963 (TX)

Record details

NPI number	1144596529
Entity type	Individual (Type 1)
Gender	Female
Credentials	PTA
Sole proprietor	No
NPI enumerated	March 29, 2012
Last updated in NPPES	March 29, 2012