Individual
BRIAN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
W3216 COUNTY ROAD KK STE 105, APPLETON, WI 54915-9432
(920) 460-9390
(920) 404-2021
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11765-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016081
—
WI
Enumeration date
06/23/2011
Last updated
12/08/2021
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