Individual
MR. RICARDO ROBERTO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
300 WAYMORE DR, EL PASO, TX 79902-1604
(915) 577-2614
Mailing address
12932 FALLEN HERO LN, EL PASO, TX 79938-4366
(915) 342-6858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206502
TX
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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