CHAD OWENS

PORT ORANGE, FL
NPI1922458777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA24959)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
-- CHAD OWENS PTA
941 VILLAGE TRL
PORT ORANGE, FL 32127-9353
Phone number: 386-872-7511
Mailing Address
-- CHAD OWENS PTA
PO BOX 1975
ROME, GA 30162-1975
Phone number: 386-872-7511