Individual
MICAELA LACHAPELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-2273
Mailing address
1013 W WAYNE ST, MAUMEE, OH 43537-1935
(567) 694-2259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP026947A
AZ
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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