Individual
DR. OVIDIA CHACON FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1712 S COUNTRY CLUB DR STE 101, MESA, AZ 85210-6046
(602) 313-4337
(480) 222-1457
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12054PT
AZ
Other
Enumeration date
04/01/2016
Last updated
12/21/2023
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