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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB A CHAVEZ, PTA

Active

JACOB A CHAVEZ, PTA is a Occupational Therapist healthcare provider located in FOUNTAIN, Colorado. NPI 1093538134 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FOUNTAIN, CO

Registration Details

NPI Number
1093538134
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2024 (1.7435009720086 yrs)
Last Updated
Nov 6, 2024
License
PTA.0015038 (CO)

Practice Information

Address
901 N SANTA FE AVE
FOUNTAIN, CO, 808171738
Browse CO providers · Browse ZIP 80817
Phone
7198220550
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FOUNTAIN, CO

Name Credential NPI
MS. JAMI NILES PTA 1902104144
ANGELA DEROSIER PTA 1225765258
LEAH ALFORD PTA 1568171775
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.