Individual
KEVIN A CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPTA
Contact information
Practice address
1111 SPRING ST STE 310, SILVER SPRING, MD 20910-4003
(301) 588-3929
Mailing address
1122 S PACA ST, BALTIMORE, MD 21230-2527
(252) 945-8532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5366
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2020
Last updated
09/08/2020
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