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PHOEBE J CHESTNA OTR/L

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

Registrant NPI Number: 1477788156

Individual Registrant:
 PHOEBE J CHESTNA OTR/L
Gender: F
Sole Proprietor

Location and contact information for practice:
4694 ROUTE 30  SUDBURY, VT 05733-9689 US
Tel: 802-345-6450  Fax: --

Contact information for business:
4694 ROUTE 30  SUDBURY, VT 05733-9689 US
Tel: 802-345-6450  Fax: --

Registration Information:
NPI: 1477788156
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
VT072-0000019
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MA9642
Y225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
VT072-0000019

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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