Healthcare Provider Details

I. General information

NPI: 1093911414
Provider Name (Legal Business Name): CHADAM ASSOCIATES INC, A PHYSICAL THERAPY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 S. 10TH STREET #G
TAFT CA
93268-3300
US

IV. Provider business mailing address

3801 BUCK OWENS BLVD #116
BAKERSFIELD CA
93308
US

V. Phone/Fax

Practice location:
  • Phone: 661-763-4194
  • Fax: 661-763-5792
Mailing address:
  • Phone: 661-327-4685
  • Fax: 661-327-1959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRUCE I TAKII
Title or Position: PRESIDENT
Credential: PT
Phone: 661-763-4194