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Individual

MARK CHAPIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 875-8999
Mailing address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 875-8999

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
007575
OH
225XP0019X
Physical Rehabilitation Occupational Therapist
007575
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007575
OHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY, & ATHLETIC TRAINERS BOARD (OTPTAT)
OH
Enumeration date
10/22/2015
Last updated
10/22/2015
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