Individual
BETH CHIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 442-4207
Mailing address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 442-4207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0119
NH
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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