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Individual

MS. OLIVIA CHAPMAN SOUTHWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 CUMMINGS CTR STE 158D, BEVERLY, MA 01915-6279
(978) 921-1182
Mailing address
75 CHERRY ST, GLENS FALLS, NY 12801-3225
(518) 955-7402

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
01/28/2022
Last updated
02/02/2022
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