Individual
CHANTAE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(804) 716-1527
(804) 716-1563
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(804) 716-1527
(804) 716-1563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001286
VA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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