Individual
MR. JEREMIAH HOSEA DENARD CHAMBLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 POST OAK RD, YORKTOWN, VA 23693-4967
(727) 637-2178
Mailing address
3435 7TH AVE SE, LARGO, FL 33771-2726
(727) 637-2178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009433
VA
225X00000X
Occupational Therapist
OT16304
FL
Other
Enumeration date
05/06/2020
Last updated
05/10/2023
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