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NPI Code Detail

MEDICARE: MRS. CHASITY BOND

MEDICARE: MRS. CHASITY BOND
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
1225200000XPhysical Therapy Assistant2063060TX
2225200000XPhysical Therapy Assistant2306603093VA

General Provider Information

NPI Number : 1801061544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHASITY BOND
Provider Business Mailing Address
First Line : 1308 BUNKER RIDGE ARCH APT F
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-9471
Country : US
Telephone Number : 210-838-3225
Fax Number :
Provider Business Practice Location Address
First Line : 5520 INDIAN RIVER RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5217
Country : US
Telephone Number : 757-420-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2008
Last Update Date : 10/04/2012

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