Individual
AMY CHALOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1883 SHUMWAY HILL ROAD, BROAD ACRES HEALTH AND REHABILITATION CENTER, WELLSBORO, PA 16901
(570) 724-3913
(414) 918-2573
Mailing address
111 W MICHIGAN ST, PROGRESSIVE STEP CORPORATION, MILWAUKEE, WI 53203-2903
(414) 908-8781
(414) 918-2573
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007140
PA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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