Individual
CHASE BRUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1629 WYOMING AVE, SAN ANGELO, TX 76904-7152
(325) 212-0170
Mailing address
1629 WYOMING AVE, SAN ANGELO, TX 76904-7152
(325) 212-0170
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
ATP50901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50901
—
TX
Enumeration date
03/22/2012
Last updated
03/22/2012
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