Individual
MRS. CAROLE CHAUVIN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00474R
LA
225100000X
Physical Therapist
PT001323
GA
225100000X
Physical Therapist
Primary
PTH215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25299
BCBSOFAL PROVIDER
AL
Enumeration date
12/18/2006
Last updated
07/08/2007
Update your record
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