JACOB A CHAVEZ

FOUNTAIN, CO
NPI1093538134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0015038)
Enumeration Date2024-11-06
Last Update Date2024-11-06
Business Address
JACOB A CHAVEZ PTA
901 N SANTA FE AVE
FOUNTAIN, CO 80817-1738
Phone number: 719-822-0550
Mailing Address
JACOB A CHAVEZ PTA
1025 JACKSON ST
PUEBLO, CO 81004-2471
Phone number: 719-553-6949
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