Individual
NATALIE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
62 CARRIAGE OAKS DR, TYRONE, GA 30290-1684
(770) 969-7166
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008048
GA
225X00000X
Occupational Therapist
OT19818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124434261
COMPANY NPI
CA
Enumeration date
03/22/2019
Last updated
02/28/2022
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