Individual
FABIAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Mailing address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7454
AZ
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21223
LICENSE #
FL
Enumeration date
08/23/2006
Last updated
04/09/2012
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