Provider Demographics
NPI:1285346650
Name:CHAVANA, SOLIMAR (MSOT)
Entity type:Individual
Prefix:
First Name:SOLIMAR
Middle Name:
Last Name:CHAVANA
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 E AIRE LIBRE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2965
Mailing Address - Country:US
Mailing Address - Phone:862-763-1373
Mailing Address - Fax:
Practice Address - Street 1:625 W CORNELL DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1759
Practice Address - Country:US
Practice Address - Phone:480-897-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist