Most Relevant Information
Provider Data
| NPI Number: | 1003420316 |
| Provider Name: | RICKY CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225XH1200X |
| Specialty: | Occupational Therapist |
| License Number: | 21557 |
Most Important Dates
| Enumeration Date: | 09/03/2020 |
| Last Updated: | 09/03/2020 |
Provider Practice Location
13603 HALCOURT AVENUE
NORWALK
CA
90650
Practice Location Phone/Fax
| Phone: | 5622152390 |
| Fax: |
Provider Mailing Location
13603 HALCOURT AVENUE
NORWALK
CA
90650
Provider Mailing Phone/Fax
| Phone: | 5622152390 |
| Fax: |