Individual
STEPHANIE ANN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1051 E CENTERVILLE RD APT 201, GARLAND, TX 75041-3602
(504) 250-4954
Mailing address
430 FOREST LOOP, MANDEVILLE, LA 70471-2634
(504) 250-4954
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1179631
TX
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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