# JORDAN CHAUSSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Community in Motion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285091207
- **Authorized official:** THERESA CHAUSSE (OWNER)
- **Authorized official phone:** (603) 443-9639

## Contact information

- **Practice address:** 81 RIVERSIDE DR, SUITE 1, LEBANON, NH 03766-2033
- **Practice address phone:** (603) 443-9639
- **Practice address fax:** (603) 443-9659
- **Mailing address:** 81 RIVERSIDE DR, SUITE 1, LEBANON, NH 03766-2033
- **Mailing address phone:** (603) 443-9639
- **Mailing address fax:** (603) 443-9659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 647013 | NH | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016