Individual
PHOEBE J CHESTNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4694 ROUTE 30, SUDBURY, VT 05733-9689
(802) 345-6450
Mailing address
4694 ROUTE 30, SUDBURY, VT 05733-9689
(802) 345-6450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072-0000019
VT
225X00000X
Occupational Therapist
9642
MA
225XP0200X
Pediatric Occupational Therapist
Primary
072-0000019
VT
Other
Enumeration date
05/24/2009
Last updated
05/24/2009
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