Individual
LUIS CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
600 W GREGORY ST, PENSACOLA, FL 32502-4744
(850) 437-3131
(850) 262-4191
Mailing address
600 W GREGORY ST, PENSACOLA, FL 32502-4744
(850) 437-3131
(850) 262-4191
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11127
FL
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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