Individual
REMMIE EDWARD CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 W CLARENDON AVE, SUITE 285, PHOENIX, AZ 85013-3420
(602) 277-3686
(602) 277-3676
Mailing address
300 W CLARENDON AVE, SUITE 285, PHOENIX, AZ 85013-3420
(602) 277-3686
(602) 277-3676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286449
—
AZ
01
—
Z113264
MEDICARE GROUP
AZ
Enumeration date
11/01/2007
Last updated
05/01/2008
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