Individual provider · NPI-1

Paul Steven Chavez, OTR/L

Occupational Therapist, Physical Rehabilitation · Pomona, CA

NPI number1790278265
StatusActive
Last updated in NPPESJun 10, 2018

Details

NPI
1790278265
Entity type
Individual (NPI-1)
Name
Paul Steven Chavez
Credential
OTR/L
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2018
Last updated
Jun 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0019X Occupational Therapist, Physical Rehabilitation15127CAYes

Practice location

255 E Bonita Ave
Pomona, CA 91767-1933

Phone 909-596-7733

Mailing address

11083 San Pasqual Ave
Montclair, CA 91763-6090

Phone 626-512-9583

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