Individual
MRS. ELIZABETH MISCALLY CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1104 BEVILLE ROAD, SUITE J, DAYTONA BEACH, FL 32114
(386) 252-7837
(385) 252-0021
Mailing address
1104 BEVILLE ROAD, SUITE J, DAYTONA BEACH, FL 32114
(386) 252-7837
(385) 252-0021
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y097M
BCBS
FL
Enumeration date
03/07/2007
Last updated
07/08/2007
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