| NPI | 1326670282 |
|---|---|
| Former Name | COURTNEY CHACON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NV A-1693) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 50518) |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2024-07-15 |