Individual
MRS. TAYLOR NICOLE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(508) 808-9204
Mailing address
5943 KIM RD NE, RIO RANCHO, NM 87144-1548
(508) 808-9204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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