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Individual

CHANDLER PATE DITTMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS, OT

Contact information

Practice address
2103 REEDALE AVE, AUGUSTA, GA 30906-3430
(706) 814-6887
(706) 814-6587
Mailing address
2103 REEDALE AVE, AUGUSTA, GA 30906-3430
(706) 814-6887
(706) 814-6587

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008210
GA

Other

Enumeration date
06/23/2021
Last updated
09/25/2021
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