Individual
GUSTAVO CHAVEZ RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1066 N POWER RD STE 104, MESA, AZ 85205-5709
(480) 481-2244
Mailing address
8927 E BUTTERNUT AVE, MESA, AZ 85208-2319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014962
AZ
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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