Individual
JAMIE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
105 CHESTER RD, SPRINGFIELD, VT 05156-2106
(802) 885-5741
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.016025
IL
225X00000X
Occupational Therapist
Primary
072.0134488
VT
225X00000X
Occupational Therapist
16556
NC
225X00000X
Occupational Therapist
OT22884
FL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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