JARA CHAVOLLA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1801761028- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2731 PLUM RIDGE ROAD, KLAMATH FALLS, OR, 976012374
- Phone
- (541) 882-6691
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #10103