IndividualActive
Amy Charles, PTA
NPI 1700467008 · Physical Therapy Assistant · Wall Township, NJ
Provider details
- NPI number
- 1700467008
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 40QB00282000 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1615 Rogers Ct
Wall Township, NJ 07719-3863
Phone: (732) 397-5159
Approximate (ZIP-level) locationGet directions
Mailing address
54 N Park Ave
Shrewsbury, NJ 07702-4413
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2021-04-19
- Certified
- 2021-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.