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Individual

CHANON VALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
300 BIRNIE AVE STE 304, SPRINGFIELD, MA 01107-1121
(413) 781-1054
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XH1200X
Hand Occupational Therapist
8681
MA

Other

Enumeration date
04/10/2008
Last updated
12/12/2023
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