Individual
COREY CHACHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
501 JACK STEPHENS DR, LITTLE ROCK, AR 72205-5551
(501) 661-7955
(501) 661-7961
Mailing address
501 JACK STEPHENS DR, LITTLE ROCK, AR 72205-5551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1257950
TX
225100000X
Physical Therapist
Primary
4131
AR
Other
Enumeration date
06/15/2015
Last updated
07/28/2016
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