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Individual

MRS. CHLOE JOANNA WENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1793 NE BOBBIE CT, BEND, OR 97701-6608
(805) 455-8426
Mailing address
1793 NE BOBBIE CT, BEND, OR 97701-6608
(805) 455-8426

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
460620
OR

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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