| Organization Name: | CHANCE PHYSICAL THERAPY & FITNESS PC |
| NPI Number: | 1265553408 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHANCE CHETTA SAELIM (PRESIDENT OWNER) |
| Mailing Address: | 1301 Se Lynn Lane Idabel |
| State: | OK US |
| Postal Code: | 747456845 |
| Phone Number: | 5802867848 |
| Fax Number: | 5802867863 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT2130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |