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NPI Code Detail

MEDICARE: STEPHANIE E CHAYREZ PT,DPT

MEDICARE:   STEPHANIE E CHAYREZ  PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist11921PTAZ

General Provider Information

NPI Number : 1154794204
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE E CHAYREZ PT,DPT
Provider Business Mailing Address
First Line : PO BOX 6570
Second Line :
City : PEORIA
State : AZ
Zip : 85385-6570
Country : US
Telephone Number : 623-398-8072
Fax Number : 623-398-8235
Provider Business Practice Location Address
First Line : 2005 W HAPPY VALLEY RD
Second Line : SUITE 170
City : PHOENIX
State : AZ
Zip : 85085-2893
Country : US
Telephone Number : 623-322-0654
Fax Number : 623-322-0664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 11/10/2015

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Directions to “ STEPHANIE E CHAYREZ PT,DPT” Practice Location

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