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Organization

CHANEY PHYSICAL THERAPY, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA M. CHANEY P.T. (PHYSICAL THERAPIST / OWNER)
(301) 373-5827
Entity
Organization

Contact information

Practice address
26045 SOTTERLEY HEIGHTS RD, HOLLYWOOD, MD 20636-2659
(301) 373-5827
(301) 373-5753
Mailing address
26045 SOTTERLEY HEIGHTS RD, HOLLYWOOD, MD 20636-2659
(301) 373-5827
(301) 373-5753

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14254
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
333192
MD I.P.A
MD
01
53476701
BCBS PROFESSIONAL
MD
01
J160
CAREFIRST BCBS
MD
01
R6630001
BCBS FEDERAL
MD
Enumeration date
08/09/2005
Last updated
08/22/2020
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