Individual
JESSICA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 790-8520
(203) 790-8530
Mailing address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 790-8520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004878
CT
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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