MR. Charles V Chavez I, PTA

NPI #1164279170 in Lacey, Washington

Provider Information

NPI Number: 1164279170
Entity Type: Individual
Name: MR. Charles V Chavez I, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 6, 2024
Last Updated: May 6, 2024

Practice Location

Address: 4200 6TH AVE SE
City: Lacey
State: Washington
ZIP Code: 98503-1042
Phone: (800) 869-7062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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