Individual
TERESA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
303 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3670
(812) 284-3030
Mailing address
925B WALNUT ST, JEFFERSONVILLE, IN 47130-3609
(502) 641-7626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003661A
IN
Other
Enumeration date
09/26/2011
Last updated
09/29/2011
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