Individual
KRISTEN CHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
23 FAIR ST, BRISTOL, CT 06010-5531
(860) 589-2923
Mailing address
350 FERN HILL RD, BRISTOL, CT 06010-3180
(860) 314-1393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000250
CT
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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