Individual
CHANCE DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SEASCAPE VLG, APTOS, CA 95003-6102
(831) 687-0985
(831) 687-0986
Mailing address
15 SEASCAPE VLG, APTOS, CA 95003-6102
(831) 687-0985
(831) 687-0986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41574
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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