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NPI Code Detail

MEDICARE: DAWN NICKOL CHAMBERS PT

MEDICARE: DAWN NICKOL CHAMBERS PT
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
1225100000XPhysical Therapist5018SC
2225100000XPhysical TherapistCPO1825OTVA

General Provider Information

NPI Number : 1558651620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN NICKOL CHAMBERS PT
Provider Business Mailing Address
First Line : 4015 FOREST DR. STE 101
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-7003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 984B LASKIN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-3905
Country : US
Telephone Number : 757-395-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 03/15/2026

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Directions to “ DAWN NICKOL CHAMBERS PT” Practice Location

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