Individual
MR. ANGEL CHAYREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
418 N 4TH ST, AVONDALE, AZ 85323-1953
(602) 486-7391
Mailing address
418 N 4TH ST, AVONDALE, AZ 85323-1953
(602) 486-7391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4974
AZ
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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