Individual
HEATHER COOPER CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2403 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4033
(706) 866-7700
Mailing address
2403 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4033
(706) 866-7700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010024
GA
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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