Individual
ANDREA CHAVEZ DAVILA
Active
Individual
ANDREA CHAVEZ DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31430
AZ
225200000X
Physical Therapy Assistant
10295A
AZ
Other
Enumeration date
08/26/2013
Last updated
11/13/2020
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