MEDICARE: COLIN CHAPMAN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	62570	OR

General Provider Information

NPI Number	:	1487161527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN CHAPMAN PT, DPT

Provider Business Mailing Address
First Line	:	1619 VIA BRISA DEL LAGO
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-5273
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1693 SW CHANDLER AVE STE 140
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3230
Country	:	US
Telephone Number	:	541-390-0523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2018
Last Update Date	:	01/09/2018

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Directions to “ COLIN CHAPMAN PT, DPT” Practice Location

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