Individual
CHAD TYLER WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
30 NIGHTINGALE ROAD, EDWARDS AFB, CA 93524-4423
(661) 277-3891
Mailing address
1042 LOVELL WAY, EDWARDS, CA 93523-2626
(603) 812-8597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29183
MD
225100000X
Physical Therapist
5051
NH
225100000X
Physical Therapist
Primary
PT6648
ME
Other
Enumeration date
09/02/2022
Last updated
03/27/2024
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