Dr Chayla Creer, DPT | |
5447 Shady Pine St S, Jacksonville, FL 32244-8543 | |
(318) 272-2044 | |
Not Available |
Full Name | Dr Chayla Creer |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5447 Shady Pine St S, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891108262 | NPI | - | NPPES |
P01363942 | Other | FL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT29037 (Florida) | Primary |
Provider Name | Physt |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053854711 PECOS PAC ID: 8022391309 Enrollment ID: O20170210001794 |
Mailing Address | Practice Location Address |
---|---|
Dr Chayla Creer, DPT 5447 Shady Pine St S, Jacksonville, FL 32244-8543 Ph: (904) 613-1195 | Dr Chayla Creer, DPT 5447 Shady Pine St S, Jacksonville, FL 32244-8543 Ph: (318) 272-2044 |
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