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Individual
CHAD R FLETCHER
Active
Individual
CHAD R FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R.L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
285163-4201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107021541101
SELECT HEALTH
UT
01
—
75029
PEHP
UT
Enumeration date
07/24/2006
Last updated
07/08/2007
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