Individual
MS. DIANNE D CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
456 BAXTER AVE, WYCKOFF, NJ 07481-3013
(551) 427-4543
Mailing address
456 BAXTER AVE, WYCKOFF, NJ 07481-3013
(551) 427-4543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NJ
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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