Chaz Larue Wiggins in Baltimore - Physical Therapist
Chaz Larue Wiggins - NPI 1104088368
Chaz Larue Wiggins is a Physical Therapist in Baltimore, Maryland. Chaz Larue Wiggins practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Chaz Larue Wiggins is 1104088368. The last update date is 2008-06-30.
Chaz Larue Wiggins's current location address is 117 Orville Rd, Baltimore, Maryland. You can contact this provider via phone number 4106862270 and fax number 4106865447. The mailing address for Chaz Larue Wiggins is 117 Orville Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chaz Larue Wiggins |
|---|---|
| Address | 117 Orville Rd, Baltimore, Maryland |
| Phone Number | 4106862270 |
| Fax Number | 4106865447 |
| Sole Proprietor | N |
| Credentials | D.P.T. |
NPI Number Detail
| NPI Number | 1104088368 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 117 Orville Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212211309 |
| Phone Number | 4106862270 |
| Fax Number | 4106865447 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 22590 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Chaz Larue Wiggins?
The Chaz Larue Wiggins has been issued the NPI (National Provider Identifier) 1104088368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Chaz Larue Wiggins is physically located?
The Chaz Larue Wiggins is situated at the following address: 117 Orville Rd, Baltimore, MD 212211309.
What is Chaz Larue Wiggins's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chaz Larue Wiggins's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Chaz Larue Wiggins receive the assignment of its 1104088368 from the Centers for Medicare & Medicaid Services?
The Chaz Larue Wiggins was issued its 1104088368 by the Centers for Medicare & Medicaid Services on 2008-06-30.
When was the Chaz Larue Wiggins's information last updated?
The Chaz Larue Wiggins's information was last updated on 2008-06-30.