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Individual

THERESA CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-1964
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-1964

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1217
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1217
STATE LICENSE NUMBER
AL
Enumeration date
11/22/2010
Last updated
11/21/2023
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