Healthcare Provider Details
I. General information
NPI: 1932734134
Provider Name (Legal Business Name): CHAUX PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2020
Last Update Date: 01/15/2021
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 E HILLCREST DR STE 190
THOUSAND OAKS CA
91360-7793
US
IV. Provider business mailing address
325 E HILLCREST DR STE 190
THOUSAND OAKS CA
91360-7793
US
V. Phone/Fax
- Phone: 805-203-9940
- Fax:
- Phone: 805-203-9940
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALEXANDRA
CHAUX
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: DPT
Phone: 805-203-9940