Individual
REBECCA ANN CHILCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53940 CARMICHAEL DR, SOUTH BEND, IN 46635-1564
(574) 335-6212
Mailing address
1263 CAMDEN CT, GOSHEN, IN 46526-6453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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