Individual
MR. DANIEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 898-5122
Mailing address
515 W CASTILLO AVE, BELEN, NM 87002-3525
(505) 715-8287
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1229
NM
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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