Individual
CHELSEA LYNN BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 580-4691
Mailing address
5 PACELLA PARK DR APT 1302, RANDOLPH, MA 02368-1774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12851
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
MA
Enumeration date
07/02/2018
Last updated
09/29/2018
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