Provider Demographics
NPI:1386270478
Name:CHAMBERS, TAMBRA W (MPT)
Entity type:Individual
Prefix:
First Name:TAMBRA
Middle Name:W
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7324 BRADLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2130
Mailing Address - Country:US
Mailing Address - Phone:301-273-5299
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:7324 BRADLEY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2130
Practice Address - Country:US
Practice Address - Phone:301-273-5299
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist