Individual
AMANDA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44 WEBSTER ST, MANCHESTER, NH 03104-2544
(603) 647-5900
Mailing address
119 TATNIC RD, WELLS, ME 04090-4910
(207) 251-8720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2635
NH
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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