Individual
ANDREA L CHATTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
93 TROUT BROOK LN, RIVERHEAD, NY 11901-5072
(631) 779-3345
Mailing address
93 TROUT BROOK LN, RIVERHEAD, NY 11901-5072
(631) 779-3345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012489-1
NY
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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