Individual
CHAD OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
941 VILLAGE TRL, PORT ORANGE, FL 32127-9353
(386) 872-7511
(866) 781-1879
Mailing address
PO BOX 1975, ROME, GA 30162-1975
(386) 872-7511
(866) 781-1879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24959
FL
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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