Individual
MR. ROBERT CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3454
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174330401
—
TX
05
—
200056430A
—
OK
05
—
200056430B
—
OK
Enumeration date
08/30/2006
Last updated
07/06/2011
Update your record
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