Individual
HEIDI M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8100 SEMINOLE DR, HOWARD CITY, MI 49329-9351
(806) 477-8384
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005220
MI
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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