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NPI Code Detail

MEDICARE: MEG E CHISLETT LPT

MEDICARE: MEG E CHISLETT LPT
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
12251X0800XOrthopedic Physical Therapist3408NC

General Provider Information

NPI Number : 1992862635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEG E CHISLETT LPT
Provider Business Mailing Address
First Line : 125 THE PKWY
Second Line : SUITE 501
City : GREENVILLE
State : SC
Zip : 29615-6610
Country : US
Telephone Number : 864-528-5707
Fax Number : 864-528-5701
Provider Business Practice Location Address
First Line : 333 S PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-2622
Country : US
Telephone Number : 864-515-7580
Fax Number : 864-515-7581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 09/17/2009

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Directions to “ MEG E CHISLETT LPT” Practice Location

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