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Contact Information

CHADDRICK POLK, PT, OTA
4261 E UNIVERSITY DR STE 30-165
PROSPER, TX75078
 Phone: 972-347-9604
 Fax: 972-499-2527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for CHADDRICK POLK · (Male)

NPI # 1003286972
Status Active
Credentials PT, OTA
Entity Individual
Enumeration date 10/04/2015
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1309289
  • TX License # 213531
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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