Individual
CHAMELIA J JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9382 WHISTLE STOP PL APT 1217B, DALLAS, TX 75231-1251
(314) 882-3059
Mailing address
9382 WHISTLE STOP PL APT 1217B, DALLAS, TX 75231-1251
(314) 882-3059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2012019887
MO
225200000X
Physical Therapy Assistant
Primary
2137410
TX
Other
Enumeration date
06/25/2012
Last updated
07/24/2024
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