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MISS CHELSEA RIDDLE FORTNER OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1972055481

Individual Registrant:
MISS CHELSEA RIDDLE FORTNER OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
103 ATKINS LN  EAST PALATKA, FL 32131-4313 US
Tel: 386-530-0124  Fax: --

Contact information for business:
103 ATKINS LN  EAST PALATKA, FL 32131-4313 US
Tel: 386-530-0124  Fax: --

Registration Information:
NPI: 1972055481
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
FL17552

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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