Individual
CHANCELOR CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4833 TUMWATER VALLEY DR SE STE 150, TUMWATER, WA 98501-4583
(360) 493-4160
Mailing address
PO BOX 3087, PORTLAND, OR 97208-3087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60330293
WA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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