Individual
CHITROD KHAYKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2925 S 22ND ST, SHEBOYGAN, WI 53081-6513
(920) 458-6195
Mailing address
2925 S 22ND ST, SHEBOYGAN, WI 53081-6513
(920) 458-6195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15322
FL
Other
Enumeration date
03/02/2007
Last updated
05/31/2023
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