Individual
CHAD POMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
879 USERY RD, CHIPLEY, FL 32428-9303
(850) 638-4654
Mailing address
1716 LEDGER RD, CHIPLEY, FL 32428-5193
(251) 401-8908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14559
FL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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