Individual
TERIANN MARIE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4721
Mailing address
4805 MESA BONITA CT NW, ALBUQUERQUE, NM 87120-3371
(505) 400-5103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2746
NM
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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