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Individual

SUSANA CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
516 GRANT AVE, NORTH AUGUSTA, SC 29841-3632
(706) 825-2996
(855) 232-8604
Mailing address
516 GRANT AVE, NORTH AUGUSTA, SC 29841-3632
(706) 825-2996
(855) 232-8604

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001387
GA

Other

Enumeration date
04/11/2007
Last updated
05/18/2023
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