Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 05011466A | IN |
Y | 2251X0800X | Physical Therapist - Orthopedic | 05011466A | IN |
NPI | 1013326552 |
---|---|
Provider Name | Allison L Chambers |
First Address | Carmel, IN 46032-8706 |
Second Address | Carmel, IN 46032-8706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2014 |
Last Update Date | 29/11/2018 |