Individual
CHAD CHANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
Mailing address
1310 NW 30TH ST, GAINESVILLE, FL 32605-5009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17830
FL
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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