Individual
MRS. AMANDA D CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1929 POPLAR LN SW, ALBUQUERQUE, NM 87105-3153
(505) 228-9005
Mailing address
1929 POPLAR LN SW, ALBUQUERQUE, NM 87105-3153
(505) 228-9005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4205
NM
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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