Individual
MISS CHELSEA VANDERSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
218 E MAIN ST, WAYNE, OH 43466-9821
(419) 308-9960
Mailing address
218 E MAIN ST, WAYNE, OH 43466-9821
(419) 308-9960
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06452
OH
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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