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PHOEBE J CHESTNA OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1477788156
Individual Registrant: PHOEBE J CHESTNA OTR/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4694 ROUTE 30 SUDBURY, VT 05733-9689 US
Tel: 802-345-6450 Fax: --
Tel: 802-345-6450 Fax: --
Contact information for business:
4694 ROUTE 30 SUDBURY, VT 05733-9689 US
Tel: 802-345-6450 Fax: --
Tel: 802-345-6450 Fax: --
Registration Information:
NPI: 1477788156
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | VT | 072-0000019 |
| N | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | MA | 9642 |
| Y | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | VT | 072-0000019 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
