Individual
WILLIAM CHAD PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3482
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515-44793
BCBS OF AL
AL
01
—
510I650019
MEDICARE PTAN
AL
Enumeration date
06/30/2006
Last updated
11/14/2013
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