Individual
JOHANNA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 12TH AVE, FORT WORTH, TX 76104-2516
(817) 882-8289
Mailing address
4016 OSCAR AVE, FORT WORTH, TX 76106-4045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116195
TX
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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