Spaulding Chad N - Florida Health Professionals
County | Out of State |
---|---|
Address (Line 1) | 304 CLAYTON MANOR DRIVE |
Address (City) | MIDDLETOWN |
Address (State) | DE |
Address (Zip Code) | 19709 |
Profession | Athletic Trainer |
File Number | 642 |
License Expiration Date | 9/30/2004 |
Original Date | 10/15/1996 |
Rank Code | AL |
License Number | 643 |
Status Effective Date | 10/31/2006 |
Phone Number (Area Code) | 302 |
---|---|
Phone Number | 376-5252 |
Practice Location (Address Line1) | PRO PHYSICAL THERAPY |
Practice Location (Address Line 2) | 100 BECKS WOODS DRIVE STE 101 |
Practice Location (City) | BEAR |
Practice Location (State) | DE |
Practice Location (Zip Code) | 19701 |
Prescribe Ind | N |
Full Name | SPAULDING CHAD N |
Board Action Indicator | N |
License Status Description | NULL AND VOID |
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