MEDICARE: JOSEPH CHAPIN

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	2317	OK

General Provider Information

NPI Number	:	1770779704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH CHAPIN

Provider Business Mailing Address
First Line	:	816 S FORREST HILL RD
Second Line	:
City	:	ATOKA
State	:	OK
Zip	:	74525-7246
Country	:	US
Telephone Number	:	580-239-2253
Fax Number	:

Provider Business Practice Location Address
First Line	:	816 S FORREST HILL RD
Second Line	:
City	:	ATOKA
State	:	OK
Zip	:	74525-7246
Country	:	US
Telephone Number	:	580-239-2253
Fax Number	:

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

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	03/25/2013

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Directions to “ JOSEPH CHAPIN ” Practice Location

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