Individual
DR. CHASTITY GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, GCS
Contact information
Practice address
2233 WINDY HILL LN, WAXAHACHIE, TX 75167-1279
(469) 387-9816
Mailing address
2233 WINDY HILL LN, WAXAHACHIE, TX 75167-1279
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1239623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239623
ECPTOTE
TX
Enumeration date
02/21/2023
Last updated
03/06/2023
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