Individual
MARY JOYCE CHALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CHESTER RD, SPRINGFIELD, VT 05156-2106
(802) 885-5741
Mailing address
301 W ALAMEDA ST, APT A, ROSWELL, NM 88203-4580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0101826
VT
225100000X
Physical Therapist
PT5162
NM
Other
Enumeration date
09/22/2016
Last updated
03/02/2018
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