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Individual

MRS. CHELSEA RENEE WENDEROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
216 COLLEGE BLVD, CARMI, IL 62821-1548
(812) 382-4644
Mailing address
2546 RUBY LN, WADESVILLE, IN 47638-9709
(812) 746-8517

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009411
IL

Other

Enumeration date
12/22/2012
Last updated
12/22/2012
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