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MR. STEPHEN DOUGLAS CHAPMAN PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1568789410
Individual Registrant:MR. STEPHEN DOUGLAS CHAPMAN PTA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
8641 155TH RD LIVE OAK, FL 32060-8643 US
Tel: 386-688-4040 Fax: --
Tel: 386-688-4040 Fax: --
Contact information for business:
8641 155TH RD LIVE OAK, FL 32060-8643 US
Tel: 386-688-4040 Fax: --
Tel: 386-688-4040 Fax: --
Registration Information:
NPI: 1568789410
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | FL | PTA22078 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
