Individual
CARRIE L CHAMBERLAIN
Active
Individual
CARRIE L CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316114796
—
VA
01
—
192946
BCBS (PHYSICAL THERAPY)
VA
01
—
9261158
AETNA
VA
01
—
P00608798
RAILROAD MEDICARE
VA
Enumeration date
05/14/2008
Last updated
01/16/2011
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