Individual
CHARENA CHETCHAVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
795 EL CAMINO REAL FL 1, PALO ALTO, CA 94301-2302
(650) 853-3355
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-3355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/04/2018
Last updated
01/21/2022
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