Individual
ALEXANDER CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1770 W LA HABRA BLVD, LA HABRA, CA 90631-5130
(714) 773-0750
Mailing address
2321 MILLSTREAM DR, FULLERTON, CA 92833-2128
(909) 374-2763
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
3295
CA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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