Individual
MR. JEFF WALTER CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Mailing address
200 N MAIN ST STE C, SAND SPRINGS, OK 74063-7638
(918) 245-0111
(918) 245-3555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1710
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200080820A
MEDICAID LEGACY
OK
05
—
200080820A
—
OK
01
—
244612816
MEDICARE LEGACY
OK
01
—
P00317711
MEDICARE RAILRAOD
OK
Enumeration date
08/12/2006
Last updated
06/20/2012
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