Provider Demographics
NPI:1033491733
Name:CHAPA DAVILA, PATRICIA (DPT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:CHAPA DAVILA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:CHAPA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1940 BRUCE B DOWNS BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9262
Mailing Address - Country:US
Mailing Address - Phone:813-991-1555
Mailing Address - Fax:813-991-1515
Practice Address - Street 1:1940 BRUCE B DOWNS BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9262
Practice Address - Country:US
Practice Address - Phone:813-991-1555
Practice Address - Fax:813-991-1515
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26826261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy