Individual
BRENNA PAIGE CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
803 S ALAMO RD, LEVELLAND, TX 79336
(806) 894-2806
Mailing address
3807 137TH, LUBBOCK, TX 79423-1285
(432) 638-9558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212188
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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