Individual
RICARDO CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13060 W BELL RD, SURPRISE, AZ 85378-1200
(623) 499-9100
(623) 977-1208
Mailing address
1949 E MORROW DR, PHOENIX, AZ 85024-2432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA-014424
AZ
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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