Individual
JAQUELINE CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11110 TOM ADAMS DR, AUSTIN, TX 78753-3354
(512) 768-2817
Mailing address
5401 N MAYS ST APT 813, GEORGETOWN, TX 78626-7971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2182839
TX
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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