Individual
KIMBERLLY CHAWNTAE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CLT
Contact information
Practice address
3875 E SOUTHCROSS BLVD STE A, SAN ANTONIO, TX 78222-3521
(210) 337-7953
(210) 337-7966
Mailing address
3875 E SOUTHCROSS BLVD STE A, SAN ANTONIO, TX 78222-3521
(210) 763-0775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2148253
TX
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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