Uziel Jahir Chavez

Individual provider Active NPI Physical Therapy Assistant · Calexico, CA

NPI 1609360593 · NPPES record last updated Jun 14, 2018

Key facts

NPI
1609360593
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
49382 (CA)
Practice address
1184 Paseo Los Reyes
Calexico, CA 92231-4104
Phone
(760) 675-0917
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
49382CAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 49382 CA Yes

Addresses

Primary practice location

1184 Paseo Los Reyes
Calexico, CA 92231-4104

Mailing address

1184 Paseo Los Reyes
Calexico, CA 92231-4104
Phone (760) 675-0917

Other providers in Calexico, CA

All providers in Calexico, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.