Individual
CHAD CHRISTEN HENSEL
Active
Individual
CHAD CHRISTEN HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351777
ANTHEM
OH
05
—
2543206
—
OH
01
—
311704991
TAX ID
—
01
—
P00199429
TRAVELERS MEDICARE
—
Enumeration date
05/01/2006
Last updated
10/29/2009
Update your record
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