Individual
KELSEY CHACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CENTER ROCK GRN STE 10, OXFORD, CT 06478-3170
(203) 828-6790
(203) 800-3548
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 697-3351
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5283
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2019
Last updated
09/30/2019
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