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Individual
TINA MARIE CHANEY
Active
Individual
TINA MARIE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CMT, PRPC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04321
KS
225100000X
Physical Therapist
Primary
1265672
TX
225100000X
Physical Therapist
2011021959
MO
Other
Enumeration date
07/25/2011
Last updated
02/06/2017
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