Individual
MR. CAMRON CHIESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, OTR/L
Contact information
Practice address
324 WILDER BLVD, DAYTONA BEACH, FL 32114-6025
(219) 614-1984
Mailing address
5 RYMSHAW PL, PALM COAST, FL 32164-6401
(219) 614-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33190
FL
225X00000X
Occupational Therapist
OT17887
FL
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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