Chandler Page Thomas, PT
Physical Therapist in Marvin, NC. Individual provider (NPI-1).
NPI number1124477971
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1124477971
- Entity type
- Individual (NPI-1)
- Name
- Chandler Page Thomas
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2016
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P16368 | NC | Yes |
Practice location
13959 Tom Short RdMarvin, NC 28173-5300
Phone 980-269-1844 · Fax 980-580-7807
Mailing address
8622 Tamarron DrCharlotte, NC 28277-1871
Phone 980-269-1844 · Fax 980-580-7807
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