Individual
JESUS CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2000 PRAIRIE KEY RD, WEST PALM BEACH, FL 33406-6713
(561) 223-0986
Mailing address
2000 PRAIRIE KEY RD, WEST PALM BEACH, FL 33406-6713
(561) 223-0986
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
18830
FL
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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