Provider Demographics
NPI:1215537550
Name:HESLIN, CHLOE ANN (PT)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:ANN
Last Name:HESLIN
Suffix:
Gender:F
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:PO BOX 3168
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-3168
Mailing Address - Country:US
Mailing Address - Phone:831-264-6040
Mailing Address - Fax:831-375-8007
Practice Address - Street 1:21 LOWER RAGSDALE DR
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5827
Practice Address - Country:US
Practice Address - Phone:831-264-6040
Practice Address - Fax:831-375-8007
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298401261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy