Individual
ANTHONY TODD CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA 60201222
Contact information
Practice address
225 E MAIN ST, OTHELLO, WA 99344-1053
(509) 488-0797
Mailing address
8190 ROAD R.7 SE, WARDEN, WA 98857-9596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60201222
WA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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