Organization
JORDAN CHAUSSE, LLC
Active
Other names
A Community in Motion
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA ROSE CHAUSSE AAC (PRACTICE OWNER)
(603) 443-9639
Entity
Organization
Contact information
Practice address
23 MAHAN ST, LEBANON, NH 03766-1315
(603) 443-9639
(603) 443-9659
Mailing address
PO BOX 334, LEBANON, NH 03766-0334
(603) 443-9639
(603) 443-9659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
647013
NH
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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