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RUSSELL CHALMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
30 CHESTNUT ST, MIDDLETOWN, NY 10940-5612
(845) 820-1953
Mailing address
30 CHESTNUT ST, MIDDLETOWN, NY 10940-5612
(845) 820-1953

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09094700
NJ

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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