Individual
CHASITY CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
503 MEADOW DR, WEST, TX 76691-1018
(254) 826-5354
Mailing address
6712 EDMOND AVE, WACO, TX 76710-4226
(254) 717-6055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138259
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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