Individual
DR. CHASTON RAE POLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
340 FALCON RIDGE PKWY BLDG 500, MESQUITE, NV 89027-8850
(702) 346-3105
Mailing address
340 FALCON RIDGE PKWY BLDG 500, MESQUITE, NV 89027-8850
(702) 346-3105
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4123
NV
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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