Individual
CHAD M HATAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
Mailing address
10 MORNING GLORY CT, MT ZION, IL 62549-9705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011630
IL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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