MEDICARE: FABIO CHIARI P.T.

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
1	2251X0800X	Orthopedic Physical Therapist	1172523	TX

General Provider Information

NPI Number	:	1962742197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIO CHIARI P.T.

Provider Business Mailing Address
First Line	:	1235 CLEAR LAKE CITY BLVD STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8125
Country	:	US
Telephone Number	:	281-488-5877
Fax Number	:	281-488-0718

Provider Business Practice Location Address
First Line	:	1235 CLEAR LAKE CITY BLVD STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8125
Country	:	US
Telephone Number	:	281-488-5877
Fax Number	:	281-488-0718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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