Individual
JIMMY ALPHONSE CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5015 RUSTIC OAK DR, LONGVIEW, TX 75604-8202
(903) 445-4064
Mailing address
5015 RUSTIC OAK DR, LONGVIEW, TX 75604-8202
(903) 445-4064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116665
TX
Other
Enumeration date
04/06/2015
Last updated
12/27/2024
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