Individual
ADRIAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
289 W HUNTINGTON DR STE 103, ARCADIA, CA 91007-3492
(626) 396-8150
(626) 795-7374
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-8051
(626) 795-7374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT297026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT297026
PT LICENSE
CA
Enumeration date
08/09/2019
Last updated
08/09/2019
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