Eric James Chaconas, DPT
Physical Therapist in Saint Augustine, FL. Individual provider (NPI-1).
NPI number1962417675
StatusActive
Last updated in NPPESJul 20, 2009
Details
- NPI
- 1962417675
- Entity type
- Individual (NPI-1)
- Name
- Eric James Chaconas
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Jul 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 23527 | FL | Yes |
| 225100000X | Physical Therapist | 21730 | MD |
Practice location
105 Mariner Health WaySte 213
Saint Augustine, FL 32086-3251
Phone 904-217-4259 · Fax 904-217-4251
Mailing address
Po Box 3123St Augustine, FL 32085-3123
Phone 904-824-4990 · Fax 904-824-2226
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All 95 Physical Therapist providers in Saint Augustine · All 967 providers in Saint Augustine
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