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Chancelor Chadwick, DPT

Physical Therapist in Tumwater, WA. Individual provider (NPI-1).

NPI number1285138396
StatusActive
Last updated in NPPESMar 22, 2018

Details

NPI
1285138396
Entity type
Individual (NPI-1)
Name
Chancelor Chadwick
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 22, 2018
Last updated
Mar 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT60330293WAYes

Practice location

4833 Tumwater Valley Dr Se Ste 150
Tumwater, WA 98501-4583

Phone 360-493-4160

Mailing address

Po Box 3087
Portland, OR 97208-3087

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