Provider Demographics
NPI:1336384668
Name:CHOA, JAMES SALVANTE JR (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SALVANTE
Last Name:CHOA
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-3960
Mailing Address - Fax:956-362-3965
Practice Address - Street 1:131 N FM 3167 STE B
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-7009
Practice Address - Country:US
Practice Address - Phone:956-362-3960
Practice Address - Fax:956-362-3965
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2022-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL070.016342225100000X
MO2009013293225100000X
PAPT019692225100000X
NE2768225100000X
MD22782225100000X
TX1196551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist