Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT00007637 | WA |
N | 2251N0400X | Physical Therapist - Neurology | ||
N | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1265451538 |
---|---|
Provider Name | Ms. Carrie A Chambers |
First Address | Vashon, WA 98070-7222 |
Second Address | Vashon, WA 98070-7222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 29/12/2018 |