Provider Demographics
NPI:1962742197
Name:CHIARI, FABIO (PT)
Entity type:Individual
Prefix:
First Name:FABIO
Middle Name:
Last Name:CHIARI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 CLEAR LAKE CITY BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-8125
Mailing Address - Country:US
Mailing Address - Phone:281-488-5877
Mailing Address - Fax:281-488-0718
Practice Address - Street 1:1235 CLEAR LAKE CITY BLVD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8125
Practice Address - Country:US
Practice Address - Phone:281-488-5877
Practice Address - Fax:281-488-0718
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11725232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic