Individual
MR. ROBERT CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3705 NW 63RD ST STE 208, OKLAHOMA CITY, OK 73116-1937
(405) 608-4308
Mailing address
3705 NW 63RD ST, STE 208, OKLAHOMA CITY, OK 73116-1935
(405) 608-4308
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
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