(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003286972
Provider Name: CHADDRICK POLK PT, OTA
Entity Type: Individual
Taxonomy Code: 225100000X
Specialty: Physical Therapist
License Number: 1309289
Most Important Dates
Enumeration Date: 10/04/2015
Last Updated: 12/30/2022
Provider Practice Location
4261 E UNIVERSITY DR STE 30-165
PROSPER
TX
75078
Practice Location Phone/Fax
Phone: 9723479604
Fax: 9724992527
Provider Mailing Location
4261 E UNIVERSITY DR STE 30-165
PROSPER
TX
750789152
Provider Mailing Phone/Fax
Phone: 9723479454
Fax: 9724992527