Individual
HOPE SHIRWANDA CHESTNUT
Active
Individual
HOPE SHIRWANDA CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078F2
BCBS NC
NC
Enumeration date
04/02/2009
Last updated
05/26/2015
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