Individual
MISS CHELSEA CHRISTINA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
743 BIG BROOK RD, INDIAN LAKE, NY 12842-1117
(518) 796-6122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009128
NY
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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