Individual
MS. OLIVIA ANNE CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5968 LAKEVIEW ROAD, STATESBORO, GA 30461
(912) 690-6806
Mailing address
PO BOX 1268, STATESBORO, GA 30459-1268
(912) 690-6806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6555
GA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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