Provider Demographics
NPI:1447629480
Name:CHAMBERS, AZIZA HADIYA (AT, ATC)
Entity type:Individual
Prefix:
First Name:AZIZA
Middle Name:HADIYA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:AT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4296 AUTUMN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-5109
Mailing Address - Country:US
Mailing Address - Phone:937-206-4634
Mailing Address - Fax:
Practice Address - Street 1:4296 AUTUMN CREEK DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-5109
Practice Address - Country:US
Practice Address - Phone:937-206-4634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer