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MR. STEPHEN DOUGLAS CHAPMAN PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1568789410

Individual Registrant:
MR. STEPHEN DOUGLAS CHAPMAN PTA
Gender: M
Sole Proprietor

Location and contact information for practice:
8641 155TH RD  LIVE OAK, FL 32060-8643 US
Tel: 386-688-4040  Fax: --

Contact information for business:
8641 155TH RD  LIVE OAK, FL 32060-8643 US
Tel: 386-688-4040  Fax: --

Registration Information:
NPI: 1568789410
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA22078

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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